2岁儿童声门下气管狭窄的挑战和成功治疗:一例病例报告和文献综述。

Medicine international Pub Date : 2023-09-20 eCollection Date: 2023-09-01 DOI:10.3892/mi.2023.113
Fahmi H Kakamad, Mariwan L Fatah, Rezheen J Rashid, Karzan M Hasan, Bilal A Mohammed, Honar Othman Kareem, Sarwat T San Ahmed, Khdir Hussein Hamad Khoshnaw, Sanaa O Karim, Berun A Abdalla, Sarhang Sedeeq Abdullah
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摘要

气管狭窄是指气管变窄,会导致呼吸急促、喘鸣甚至窒息。本研究报告了一名患有这种疾病的患者的临床病程,旨在帮助临床医生获得更多关于这种罕见疾病的信息,并确定潜在的治疗方案。一名2岁女童出现渐进性呼吸急促和喘鸣。她最初接受了气管造口术;然而,这并没有成功地缓解狭窄。随后的干预措施,包括硬性支气管镜检查和扩张术,成功地缓解了这种情况。活检发现支气管壁良性肥大。患者接受了类固醇和抗生素治疗,症状明显改善,1年随访后仍无症状。气管狭窄是一种罕见但严重的情况,可能危及生命。因此,这种情况的早期诊断和治疗对于改善预后至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Challenges and successful management of subglottic tracheal stenosis in a 2‑year‑old child: A case report and a mini‑review of the literature.

Tracheal stenosis is a narrowing of the windpipe that can lead to shortness of breath, stridor and even suffocation. The present study reports the clinical course of a patient with this condition in an aim to help clinicians obtain more information about this rare condition and identify potential treatment options. A 2-year-old female child presented with progressive shortness of breath and stridor. She was initially managed with tracheostomy; however, this was unsuccessful in relieving the stenosis. Subsequent interventions, including rigid bronchoscopy and dilatation were successful in relieving the condition. A benign hypertrophy of the bronchial wall was identified through biopsy. The patient was treated with steroids and antibiotics, and she experienced a marked improvement in symptoms and remained asymptomatic after a 1-year follow-up. Tracheal stenosis is a rare, yet serious condition that may be life-threatening. Thus, the early diagnosis and treatment of this condition are essential in order to improve outcomes.

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