OALib Journal期刊
气道内超声协助诊断呼吸道受累复发性多软骨炎一例及文献复习
DOI: doi:10.7507/1671-6205.2015072
Keywords: 气道内超声 , 复发性多软骨炎
Abstract:
目的提高对呼吸道受累的复发性多软骨炎(RP)的临床认识,以及气道内超声对气道壁疾病的诊断价值。 方法对1例呼吸道受累的RP患者气道内超声协助临床诊疗过程进行分析,并结合文献复习。 结果首发呼吸道症状有声嘶、咳嗽、咳痰、喘息、呼吸困难等,CT检查有气管、支气管狭窄、气管软骨变形等,支气管镜表现有不同程度的声带水肿、声门下环状软骨塌陷、声带麻痹、喉腔狭窄和主气道、左右支气管及其分支弥漫或局限狭窄、充血水肿、软骨结构消失。气道内超声显示气道壁分层模糊,软骨层破坏增厚、形状不规则。 结论呼吸道受累的RP临床容易误诊,气道内超声对气道壁疾病具有潜在的诊断价值
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