Plastic bronchitis associated with bleeding in child: A case report and literature review

Objective To analyze the clinical diagnosis and treatment of a child with hemorrhagic plastic bronchitis, and to explore the etiology of hemorrhagic plastic bronchitis with review of relevant literature, so as to improve the clinicians′understanding of plastic bronchitis. Methods Clinical data of a female children with hemorrhagic plastic bronchitis was retrospectively reviewed.The patient had congenital heart disease, with repeated cough and hemoptysis as the first symptom.Chest CT scan showed cylindrical bronchiectasis of the right lower lobe and the bloodly bronchial cast was removed by bronchoscopy.The related literatures were review. Results After treatment, the symptoms of cough and cough were improved significantly. Conclusion When patients with recurrent hemoptysis and conventional treatment has no effective, it should be alert to the possibility of plastic bronchitis.The bronchoscopy can identify the causes and remove the casts, also need to pay attention to rebleeding. Key words: Plastic bronchitics; Bleeding; Children