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題名 | 嬰兒聲門下血管瘤--病例報告=Infantile Subglottic Hemangioma--Case Report |
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作者 | 莊尚文; 鄒繼群; 章志平; 劉行哲; | 書刊名 | 中華民國耳鼻喉科醫學雜誌 |
卷期 | 36:3 民90.05-06 |
頁次 | 頁181-184 |
分類號 | 417.68 |
關鍵詞 | 嬰兒聲門下血管瘤; 纖維喉支氣管鏡檢; 類固醇; Infantile subglottic hemangioma; Fiberoptic laryngobronchoscopy; Steroid; |
語文 | 中文(Chinese) |
中文摘要 | 嬰幼兒頭頸部腫瘤中,血管瘤並不少見,但聲門下血管瘤卻是極為罕見,若不及 時處理呼吸道問題,死亡率極高。 本科於 1999 年 2 月經歷一嬰兒聲門下血管瘤之病例, 經纖維喉支氣管鏡檢查,發現在左側聲門下有一血管瘤, 給予靜脈 dexamethasone 治療後 ,症狀明顯改善,往院 2 週後順利出院,並接受口服 prednisolone 1 個月。出院 1 個月 及 7 個月後兩度接受纖維內視鏡檢查,最後 1 次內視鏡檢查,發現血管瘤已明顯縮小,女 嬰生長發育均正常, 無罹患任何疾病, 因此我們建議對於嬰兒聲門下血管瘤應以高劑量 steroid 為首選藥物,同時密切觀察呼吸狀況,必要時再採取手術治療。 |
英文摘要 | Hemangiomas are the most common head and neck tumors of infancy and early childhood. Infantile subglottic hemangiomas are nevertheless quite rare, and aggressive treatment is indicated as life threatening airway obstruction may occur. On February 1999, we encountered a 6-week-old female infant with a subglottic hemangioma. Using fiberoptic laryngobronchoscopy, a hemangioma was identified in her left posterior subglottic area. After treatment with intravenous dexamethasone her symptoms had notably improved. She was discharged without complication after two weeks of hospitalization. She continued to be given oral prednisolone for one month and had regular laryngobronchoscopic follow-up evaluation. The last endoscopic esamination showed marked shrinkage of the hemangioma. The infant grew and developed normally without sequelae. In conclusion, high-dose steroids are the first line therapy for uncomplicated subglottic hemangiomas. Alternative treatments should only be pursued if corticosteroids fail. |
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