O'Sullivan B P, Frassica J J, Rayder S M
Department of Pediatrics, University of Massachusetts Medical Center, Worcester, USA.
Chest. 1998 Feb;113(2):537-40. doi: 10.1378/chest.113.2.537.
Tracheal bronchus is a common anomaly that occurs in approximately 2% of people. Two children with multiple medical problems which led to endotracheal intubation are described. The hospital course for each child was complicated by persistent right upper lobe atelectasis. The presence of a tracheal bronchus was not recognized in either case initially; identification of this anatomic variant allowed appropriate changes in airway management. The potential for tracheal bronchus to cause, or be associated with, localized pulmonary problems is reviewed. The diagnosis of tracheal bronchus should be considered early in the course of intubated patients with right upper lobe complications.
气管支气管是一种常见的异常情况，约2%的人会出现。本文描述了两名因多种医疗问题而需要气管插管的儿童。每个孩子的住院过程都因右上叶持续肺不张而变得复杂。最初在这两个病例中均未识别出气管支气管的存在；识别出这种解剖变异后，气道管理得以做出适当调整。本文回顾了气管支气管导致局部肺部问题或与之相关的可能性。对于出现右上叶并发症的插管患者，应在病程早期考虑气管支气管的诊断。
