儿童囊性纤维化1例并临床分析

A case report and clinical analysis of cystic fibrosis

目的提高呼吸专科医生对囊性纤维化的认识。方法昆山市中西医结合医院2016年12月收治1例自幼有临床表现的囊性纤维化病人,回顾并分析其诊断治疗经过,复习相关文献总结其临床特征、鉴别诊断要点及最新治疗进展。结果囊性纤维化起病年龄较早,病人自幼年起即反复出现呼吸系统症状,但确诊时间晚,对治疗及预后产生一定影响。结论应提高对囊性纤维化的识别,对于发病年龄早、合并支气管扩张、反复肺部感染的患儿应重视囊性纤维化的筛查。

Objective To improve the awareness of specialized physicians on cystic fibrosis in Department of Respiratory.Methods The diagnostic and treatment process of one case presented as cystic fibrosis since childhood who admitted to our hospital in December 2016 was retrospectively analyzed.The clinical characteristics of the disease,differential diagnosis as well as its new advances were summerized by reviewing related literatures.Results The onset of cystic fibrosis,presenting repeated attack of respiratory system symptoms,occurred at earlier age of patients,but its diagnosis usually comfirmed at later age,which had unfavorable impact on the treatment and prognosis of patients.Conclusion The specialized physicians should improve the differential ability of cystic fibrosis,and attach great improtance to screening the disease in the children who had an early age of disease attack and complicated with bronchiectasia and repeated lung infection.