以反复喘息为主要症状的成熟纵隔畸胎瘤患儿一例报道并文献复习
发布时间：2018-07-13 13:05
【摘要】：目的探讨婴幼儿反复喘息的诊断思路。方法分析1例以反复喘息为主要症状的成熟纵隔畸胎瘤患儿的临床诊疗过程,并复习相关文献。结果患儿6个月,咳嗽、喘息病程反复发作1个月,均诊断"毛细支气管炎"给予治疗,长期误诊、误治,直至查胸部X线片提示左肺占位病变,住院后确诊成熟纵隔畸胎瘤,手术切除后症状消失。结论常规治疗婴幼儿反复喘息效果不佳时,医生需调整诊疗思路,综合考虑呼吸系统、心血管系统或者纵隔疾病等,并重视胸部X线片、过敏原检测及支气管镜术在反复喘息诊断中发挥的作用。
[Abstract]:Objective to explore the diagnosis of recurrent wheezing in infants. Methods A case of mature mediastinal teratoma with recurrent wheezing was analyzed. Results after 6 months, the course of cough and wheezing occurred repeatedly for 1 month, all the children were treated with "bronchiolitis", misdiagnosed for a long time, mistreated, until the chest X-ray film showed the left lung occupying lesion, and the mature mediastinal teratoma was diagnosed after hospitalization. The symptoms disappeared after resection. Conclusion when the routine treatment of infantile recurrent wheezing is not good, the doctor should adjust the thinking of diagnosis and treatment, consider the respiratory system, cardiovascular system or mediastinal diseases, and attach importance to the chest radiography. The role of allergen detection and bronchoscopy in the diagnosis of recurrent wheezing.
【作者单位】： 温州医科大学附属第二医院育英儿童医院儿童呼吸科;温州医科大学;
【分类号】：R734.5
本文编号：2119473
[Abstract]:Objective to explore the diagnosis of recurrent wheezing in infants. Methods A case of mature mediastinal teratoma with recurrent wheezing was analyzed. Results after 6 months, the course of cough and wheezing occurred repeatedly for 1 month, all the children were treated with "bronchiolitis", misdiagnosed for a long time, mistreated, until the chest X-ray film showed the left lung occupying lesion, and the mature mediastinal teratoma was diagnosed after hospitalization. The symptoms disappeared after resection. Conclusion when the routine treatment of infantile recurrent wheezing is not good, the doctor should adjust the thinking of diagnosis and treatment, consider the respiratory system, cardiovascular system or mediastinal diseases, and attach importance to the chest radiography. The role of allergen detection and bronchoscopy in the diagnosis of recurrent wheezing.
【作者单位】： 温州医科大学附属第二医院育英儿童医院儿童呼吸科;温州医科大学;
【分类号】：R734.5
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