贲门失迟缓导致儿童喘息发作1例报告

A case of wheezing attack in children caused by achalasia cardia

回顾性分析2021年6月浙江大学医学院附属第二医院兰溪分院收治的1例由贲门失迟缓导致的喘息发作患儿的临床资料,并检索相关文献资料复习。患儿,男,5岁,因咳嗽、喘息入院,经对症治疗后效果不佳。患儿既往有贲门失迟缓并行球囊扩张术,考虑咳嗽、喘息与贲门失迟缓有关,终经内镜下贲门括约肌切开术,咳嗽、喘息消失。儿童喘息主要病因有感染、支气管哮喘等,贲门失迟缓也是导致儿童喘息的病因之一。

The clinical data of a child patient with wheezing episodes due to achalasia cardia admitted in June 2021 were retrospectively analyzed,and relevant literature materials were retrieved.The child,male,5 years old,was admitted to the hospital for cough and wheezing,with poor results after symptomatic treatment.The child had previous achalasia cardia and received balloon dilatation surgery.Considering that the cough and wheezing are related to achalasia cardia,finally endoscopic gastric cardia sphincterotomy was performed,and cough and wheezing disappeared.The main causes of wheezing in children are infection,bronchial asthma,and other common causes,and achalasia cardia is one of the causes of wheezing in children.