Recurrent pulmonary infection, offline difficulties and airway abnormalities
10.3760/cma.j.issn.1673-4912.2011.02.009
- VernacularTitle:反复肺部感染、脱机困难与气道发育异常
- Author:
Jun LI
;
Dongsheng ZENG
;
Wei DANG
;
Chen MENG
- Publication Type:Journal Article
- Keywords:
Recurrent pulmonary infection;
Offline difficulties;
Airway abnormalities;
Bronchoscopy;
Children
- From:
Chinese Pediatric Emergency Medicine
2011;18(2):126-128,后插一
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the relationship between pulmonary infection, offline difficulties and airway abnormalities and to discuss the type of airway abnormalities. Methods The clinical data of 43 patients of severe pneumonia with inspection of electronic fibro-bronchoscope in PICU from Feb 2008 to May 2010 were retrospectively analyzed. Results In the 43 cases,24 cases existel different degrees of airway abnormalities, most of airway cartilage softening,in 15 cases; laryngeal dysplasia in 3 cases; absence of the right bronchus and right lung in 1 case. Conclusion Many children may exist airway abnormalities,if they have such performance as the clinical manifestations of recurrent wheezing after birth, refractory respiratory infection or difficulties in clinical offline, the increase of PCO2 though the effective suction, paroxysmal cyanosis and excluded with heart disease. Those children should undergo inspection with electronic fibro-bronchoscope to confirm the diagnosis as early as possible.