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目的:探讨先天性一侧肺发育畸形与支气管异物在临床表现、体征及影像学检查的相似点和不同点,提出该病的特点及诊断方法。方法:对10例以“支气管异物”或“支气管异物待排”收入院后确诊为先天性一侧肺发育畸形患儿的临床资料进行分析。结果:10例中,4例经支气管镜、4例经高分辨螺旋CT和X线胸部检查、1例经高分辨螺旋CT三维重建、1例经尸体解剖确诊,其中右肺发育畸形6例,左肺发育畸形4例,伴有心脏及其他部位畸形者3例。结论:先天性一侧肺发育畸形与支气管异物的临床表现、体征相似,易误诊为支气管异物。支气管镜检查虽可明确诊断,但风险很大,故对怀疑该病的患儿可通过胸部高分辨螺旋CT三维重建确诊。
Objective: To explore the similarities and differences between congenital lung developmental deformities and bronchial foreign bodies in clinical manifestations, signs and imaging examination, and to propose the characteristics and diagnosis of the disease. Methods: The clinical data of 10 children with congenital lung dysplasia who were diagnosed as “bronchial foreign body” or “bronchial foreign body to be discharged” were analyzed. Results: In 10 cases, 4 cases were diagnosed by bronchoscopy, 4 cases were diagnosed by high resolution spiral CT and X-ray, one case was reconstructed by high-resolution spiral CT. One case was diagnosed by autopsy, including 6 cases of deformity of the right lung, Left lung deformity in 4 cases, accompanied by heart and other parts of the deformity in 3 cases. Conclusion: Congenital lung dysplasia and bronchial foreign body clinical manifestations, signs are similar, easily misdiagnosed as bronchial foreign body. Although bronchoscopy can be a clear diagnosis, but the risk is high, so suspected of the disease can be diagnosed by chest high resolution three-dimensional reconstruction of spiral CT diagnosis.