儿童塑型性支气管炎是一种较少见的呼吸系统疾病,诱发因素多样,发病机制不完全明确,以气管支气管树内生性异物阻塞引起肺通气功能障碍为主要特征,既往受医疗技术限制,临床较少有诊断,随着支气管镜技术发展,该病报道逐渐增多。塑型性气...儿童塑型性支气管炎是一种较少见的呼吸系统疾病,诱发因素多样,发病机制不完全明确,以气管支气管树内生性异物阻塞引起肺通气功能障碍为主要特征,既往受医疗技术限制,临床较少有诊断,随着支气管镜技术发展,该病报道逐渐增多。塑型性气管炎病情可轻可重,部分患儿起病急,进展迅速,出现严重呼吸窘迫,呼吸衰竭。医务人员需识别可能存在塑性型支气管炎的患儿,早期行胸部CT检查了解气道阻塞情况,对可疑患儿早期进行支气管镜检查以明确或除外塑型性支气管炎,以期早期治疗改善预后,降低危重症患儿的死亡率。Plastic bronchitis in children is a relatively rare respiratory disease with various inducement factors and incomplete pathogenesis, mainly characterized by pulmonary ventilation dysfunction caused by endogenic foreign body obstruction in tracheobronchial tree. Limited by medical technology in the past, clinical diagnosis of the disease was rarely made. With the development of bronchoscopy technology, reports of the disease have gradually increased. Plastic bronchitis disease can be mild or severe, some children with acute onset, rapid progress, serious respiratory distress, respiratory failure. Medical staff should identify children who may have plastic bronchitis, perform early chest CT examination to understand airway obstruction, and perform early bronchoscopy in suspicious children to identify or exclude plastic bronchitis, so as to improve the prognosis and reduce the mortality of critically ill children.展开更多
文摘儿童塑型性支气管炎是一种较少见的呼吸系统疾病,诱发因素多样,发病机制不完全明确,以气管支气管树内生性异物阻塞引起肺通气功能障碍为主要特征,既往受医疗技术限制,临床较少有诊断,随着支气管镜技术发展,该病报道逐渐增多。塑型性气管炎病情可轻可重,部分患儿起病急,进展迅速,出现严重呼吸窘迫,呼吸衰竭。医务人员需识别可能存在塑性型支气管炎的患儿,早期行胸部CT检查了解气道阻塞情况,对可疑患儿早期进行支气管镜检查以明确或除外塑型性支气管炎,以期早期治疗改善预后,降低危重症患儿的死亡率。Plastic bronchitis in children is a relatively rare respiratory disease with various inducement factors and incomplete pathogenesis, mainly characterized by pulmonary ventilation dysfunction caused by endogenic foreign body obstruction in tracheobronchial tree. Limited by medical technology in the past, clinical diagnosis of the disease was rarely made. With the development of bronchoscopy technology, reports of the disease have gradually increased. Plastic bronchitis disease can be mild or severe, some children with acute onset, rapid progress, serious respiratory distress, respiratory failure. Medical staff should identify children who may have plastic bronchitis, perform early chest CT examination to understand airway obstruction, and perform early bronchoscopy in suspicious children to identify or exclude plastic bronchitis, so as to improve the prognosis and reduce the mortality of critically ill children.
