儿童出血相关性塑型性支气管炎一例及文献复习

Plastic bronchitis associated with bleeding in child: A case report and literature review

目的分析1 例儿童出血相关性塑型性支气管炎的临床诊治过程,并结合相关文献复习探讨血性塑型性支气管炎的病因,以提高临床医生对塑型性支气管炎的认识.方法回顾性分析1例以反复咳嗽、咯血为首发症状,有先天性心脏病基础,胸部CT显示右肺下叶后基底段支气管柱状扩张,经支气管镜检查吸出血型管型,证实为血性塑型性支气管炎的女性患儿临床资料,并复习相关文献.结果治疗后患者咳嗽咳血症状明显好转.结论对于临床上反复出现咯血,而常规止血药物疗效不佳者,应警惕塑型性支气管炎的可能,及时行纤维支气管镜检查有助于明确病因,但需谨慎处理以防再次出血.

Objective To analyze the clinical diagnosis and treatment of a child with hemorrhagic plastic bronchitis, and to explore the etiology of hemorrhagic plastic bronchitis with review of relevant literature, so as to improve the clinicians′understanding of plastic bronchitis. Methods Clinical data of a female children with hemorrhagic plastic bronchitis was retrospectively reviewed.The patient had congenital heart disease, with repeated cough and hemoptysis as the first symptom.Chest CT scan showed cylindrical bronchiectasis of the right lower lobe and the bloodly bronchial cast was removed by bronchoscopy.The related literatures were review. Results After treatment, the symptoms of cough and cough were improved significantly. Conclusion When patients with recurrent hemoptysis and conventional treatment has no effective, it should be alert to the possibility of plastic bronchitis.The bronchoscopy can identify the causes and remove the casts, also need to pay attention to rebleeding.