ISSN 1674-3865  CN 21-1569/R
主管：国家卫生健康委员会
主办：中国医师协会
　　　辽宁省基础医学研究所
　　　辽宁中医药大学附属医院
中国中西医结合儿科学

中国中西医结合儿科学 ›› 2022, Vol. 14 ›› Issue (2): 135-137.doi: 10.3969/j.issn.1674-3865.2022.02.010

• 临床论著 • 上一篇    下一篇

11例新生儿先天性气管狭窄临床分析

张婷, 李鑫, 李明, 谭力, 王霖, 叶冬梅   

  1. 650228 昆明，昆明市儿童医院（昆明医科大学附属儿童医院）呼吸科（张婷，李明，谭力，王霖，叶冬梅），急诊科（李鑫）

  • 收稿日期:2021-03-21 出版日期:2022-04-25 上线日期:2023-12-01
  • 通讯作者: 李鑫，E-mail：546918754@qq.com
  • 基金资助:
    昆明市卫生健康委员会卫生科研课题项目（2020-06-01-119）

Clinical analysis of congenital tracheal stenosis in 11 neonates

ZHANG Ting, LI Xin, LI Ming, TAN Li, WANG Lin, YE Dongmei   

  1. Respiratory Department of Kunming Children's Hospital（Children's Hospital Affiliated to Kunming Medical University）,Kunming 650228，China
  • Received:2021-03-21 Published:2022-04-25 Online:2023-12-01
  • Contact: LI Xin，E-mail：546918754@qq.com

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摘要： 目的 分析11例先天性气管狭窄(CTS)的临床资料。方法 回顾性分析2016年7月至2019年10月我院收治的CTS病例11例的临床资料，并文献复习CTS的相关诊疗方案。结果 11例CTS患儿中，男8例，女3例；由纤维支气管镜确诊6例，胸部CT(含气道重建)确诊5例。10例CTS患儿均有不同程度地青紫及呼吸困难，10例伴有其他部位发育异常，以喉软化和心脏畸形为主，3例胸部CT显示肺部弥漫性炎性渗出，2例合并肺实变，2例合并胸腔积液，2例出现颅内出血。结论 纤维支气管镜及CT对CTS有确诊意义，合并CTS的新生儿多合并其他发育异常、肺部影像学表现较重。气管狭窄病例轻症主要为内科保守治疗，症状明显需考虑手术治疗，Slide术是目前较为理想的手术方式，而气管支架前景较为广阔。

关键词:

先天性气管狭窄, 纤维支气管镜, Slide, 气管支架, 新生儿

Abstract:

Objective To analyze the clinical data of 11 cases of congenital tracheal stenosis(CTS).Methods The clinical data of 11 cases of neonatal tracheal stenosis were retrospectively analyzed, and the related diagnosis and treatment plans of CTS were reviewed based on literature.Results There were 8 males and 3 females in 11 cases of CTS; 6 cases were diagnosed by fiberoptic bronchoscopy, and 5 cases were diagnosed by chest CT(including airway reconstruction). Ten cases of CTS had cyanosis and dyspnea of varying degrees.Ten cases had dysplasia in other parts, mainly laryngeal malacia and cardiac malformation. Chest CT showed diffuse inflammatory exudation in 3 cases, consolidation of lung in 2 cases, pleural effusion in 2 cases, and intracranial hemorrhage in 2 cases.Conclusion Fiberoptic bronchoscopy and CT are helpful in the diagnosis of CTS. Most of the neonates with CTS are complicated with other developmental abnormalities and have severe pulmonary imaging manifestations. The mild cases of tracheal stenosis are mainly treated by conservative treatment in internal medicine,and surgical treatment is necessary for those with obvious symptoms. Slide operation is an ideal surgical mode at present, and tracheal stent has a broad prospect

Key words:

Congenital , tracheal stenosis, Fiberoptic bronchoscope, Slide, Tracheal stent, Neonate