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頁籤選單縮合
題 名 | Tracheal Stenosis Associated with Ventricular Septal Defect in a Down Syndrome Baby--A Case Report=唐氏症嬰兒合併心室中隔缺損及氣管狹窄--一病例報告 |
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作 者 | 甘宗旦; 吳俊明; 吳明和; 楊友任; | 書刊名 | Acta Cardiologica Sinica |
卷 期 | 14:1 民87.01-03 |
頁 次 | 頁46-51 |
分類號 | 417.509 |
關鍵詞 | 心室中隔缺損; 氣管狹宰症; 唐氏症; 肺動脈高壓症; Ventricular septal defect; Tracheal stenosis; Down syndrome; Pulmonary hypertension; |
語 文 | 英文(English) |
中文摘要 | 背景:唐氏症與先天性心臟病及其他許多的先天性疾病常是有相關連的。 方法與結果:本文報告一位四個月大的男嬰,因其患有唐氏症及心室中隔缺損合併肺動脈高壓症,而接受心室中隔缺損修補手術。術後因發生持續性肺動脈高壓以及無法脫離呼吸器而被發現其患有氣管狹宰,歷經氣管矯治手術後,症狀獲得改善,病況穩定而順利出院。 討論:當心臟病與其他疾病相並存時,我們常只著重於先天性心臟病,而忽略了其他疾病,但有時這會造成不可彌補的過失。所以我們提出此病例並探討如病患發生術後持續性肺動脈高壓時,氣管狹宰可能是一個可以考慮的方向。 |
英文摘要 | Background. Down syndrome (trisomy 21) is frequently associated with multiple congenital anomalies. About 40% of all cases of Down syndrome are associated with congenital heart disease; including atrio-ventricular canals and ventricular septal defect (VSD) being the most common reported lesions. This report describes a 4-month-old baby who received VSD repair and was found to have associated congenital tracheal stenosis. Methods and Results. A 4-month-old male baby with Down syndrome had a large type II VSD and pulmonary hypertension. After patch repair of VSD, pulmonary hypertension still persisted and patient was unable to be weaned from respirator. Tracheal stenosis was suspected and subsequently proved by bronchogram and bronchoscopy. The patient received slide tracheoplasty operation for tracheal reconstruction. Pulmonary artery pressure returned to normal after the operation and patient was smoothly weaned from respirator. Conclusion. This report presents an unusual combination of VSD and tracheal stenosis in a Down syndrome baby. In dealing with congenital anomalies in a Down syndrome patient, careful evaluation of other associated congenital malformations should be considered in order to obtain a satisfactory result. |
本系統中英文摘要資訊取自各篇刊載內容。