先天性完全性气管环4例临床分析

Four cases of congenital complete tracheal rings

目的总结先天性完全性气管环的临床特点。方法回顾笔者所在医院住院的先天性完全性气管环4例患儿的临床资料。结果 4例患儿年龄为1岁5个月～3岁5个月,以反复咳嗽、气喘、发热为主要表现。查体为肺炎表现,主要确诊依靠纤维支气管镜和三维CT支气管重建。大部分患者不接受手术治疗。最终预后需长期随访。结论先天性完全性气管环发病年龄小,以反复咳嗽,肺炎为主要表现,确诊手段依靠电子纤维支气管镜检查。

Objective To summarize the clinical features of congenital eomplete tracheal rings. Methods Rreview four cases clinical data admission in hospital diagnosised congenital complete tracheal rings.Results The four children aged l-year-old in May to 3-year-old in May,repeated coughing,shortness of breath,fever as the main performance.Examination for pneumonia performance,the main diagnosis on fiberoptic bronchoscopy and bronchial reconstruction of three-dimensional CT.Most patients do not undergo surgery.Final outcome requires long-term follow-up. Conclusion The congenital complete tracheal rings onset age,recurrent cough,pneumonia as the main manifestation,diagnostic method relies on electronic fiberoptic bronchnscopy.