查詢結果分析
相關文獻
- Usefulness of Pediatric Flexible Bronchoscopy in the Early Diagnosis and Postoperation Evaluation of Vascular Rings: Report of Three Cases
- 小兒軟式支氣管鏡在診斷及治療血管環的重要性
- 介入性軟式支氣管鏡於兒科的應用
- 兒科結核病
- 小兒癲癇的中醫治療
- Endobronchial Metastatic Disease
- Tracheal Neurilemmoma Mimicking Bronchial Asthma--A Dilemma of Difficult Diagnosis: Case Report
- Croup Syndrome in Children: Five-Year Experience
- 兒科軟式光纖支氣管鏡檢查
- 小兒科的黴漿菌感染
頁籤選單縮合
題名 | Usefulness of Pediatric Flexible Bronchoscopy in the Early Diagnosis and Postoperation Evaluation of Vascular Rings: Report of Three Cases=應用小兒軟式支氣管鏡來診斷血管環及行術後評估:三例報告 |
---|---|
作者姓名(中文) | 蘇有村; 牛震廣; 梁啟迪; 黃崇濱; 高常發; | 書刊名 | 長庚醫學 |
卷期 | 22:4 1999.12[民88.12] |
頁次 | 頁627-632 |
分類號 | 417.526 |
關鍵詞 | 血管環; 支氣管鏡; 哮吼; 小兒科; Vascular ring; Bronchoscopy; Stridor; Pediatric; |
語文 | 英文(English) |
中文摘要 | 診斷與處理血管環對於小兒科醫師仍然是一項挑戰。有多種檢查例如胸部X光片、 食道攝影、電腦斷層、核磁共振、心臟超音波、血管攝影等對於診斷均有幫忙。而小兒軟式 支氣管鏡的角色至今仍有爭議。在此提出3個病例來強調小兒軟式支氣管鏡在診斷血管環及 行術後評估上的重要性。第一個病例是在嬰兒時期因哮吼作喉頭鏡檢查,診斷為喉頭軟骨發 育不全,但16個月大時,在傳統影像學檢查還未安排前,以支氣管鏡檢查才發現氣管下半部 有心律性的壓迫,最後診斷為右主動脈弓併食道後主動脈憩室及鏡位影像分支(right aortic arch with a retroesophageal aortic diverticulum and mirror-image branching)。第二 及第三個病例是在傳統影像學檢查未能清楚診斷出血管環,之後才靠支氣管鏡確定診斷。這 兩個病例診斷都是肺動脈索(pulmonary artery sling)。第二個病例因術後無法順利脫離呼 吸器,第三個病例因術後呼吸窘迫仍持績、均再接受第二次支氣管鏡追蹤檢查。因為血管環 通常會以哮吼表現,且小兒軟式支氣管鏡已經被當作評估哮吼的首要檢查工具,所以可以預 期有很多血管環將是由小兒軟式支氣管鏡診斷出來。此外,此項工具在決定手術與否,及手 術前偵測相關的氣管支氣管異常,手術中確保適當的外科矯正,及手術後的追蹤評估等三方 面均是相當肯有用的。 |
英文摘要 | Vascular rings are a diagnostic and therapeutic challenge for pediatricians. Many diagnostic modalities contribute to the detection of these rare congenital vascular anomalies. The role of flexible bronchoscopy is still being debated. We present 3 cases to emphasize the usefulness of pediatric flexible bronchoscopy (PFB) in the early diagnosis and postoperative evaluation of vascular rings. In patient 1, PFB was performed before conventional techniques were available. A right aortic arch with a retroe-sophageal aortic diverticulum and mirror-image branching was later confirmed. In patients 2 and 3, pulmonary artery slings could not be detected clearly by imaging studies before PFB was performed. PFB was arranged again postoperatively for these 2 patients, because of difficulty weaning patient 2 from ventilator support and persistent respiratory distress in patient 3. In conclusion, we expect that more vascular rings will be diagnosed using PFB. This instrument is also useful in making a decision for surgery, and for detecting associated tracheobronchial anomalies preoperatively, assuring appropriate correction intraoperatively, and monitoring the condition of vascular rings postoperatively. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。