Clinical analysis of 16 cases with congenital complete tracheal ring in children
10.3760/cma.j.issn.2095-428X.2018.16.012
- VernacularTitle:儿童先天性完全性气管环16例
- Author:
Li QIU
1
;
Ying DENG
;
Ting CHEN
;
Lin ZHONG
Author Information
1. 610041 成都,四川大学华西第二医院儿科,出生缺陷与相关妇儿疾病教育部重点实验室
- Keywords:
Congenital complete tracheal rings;
Child;
Bronchoscopy
- From:
Chinese Journal of Applied Clinical Pediatrics
2018;33(16):1251-1253
- CountryChina
- Language:Chinese
-
Abstract:
Objective To assess the clinical characteristics of children with congenital complete tracheal ring (CCTR). Methods A retrospective analysis of pediatric patients was performed,who were diagnosed with CCTR at the Department of Pediatrics,West China Second University Hospital,Sichuan University between January 2014 to June 2017. The clinical manifestations,imaging features and treatment strategies were evaluated. Results A total of 16 pa-tients were included in this study. The mean age of was 11. 01 months and the mean Z score of weight-for age was- 0. 52. The main clinical manifestations were recurrent wheezing (9 cases),stridor (7 cases),tracheal intubation di-fficulty (1 case),and weaning difficulties (1 case). A total of 9 patients were complicated with cardiovascular malfor-mations. The location of CCTR was in trachea (12 cases),in bronchus (4 cases),and in both the trachea and bronchus (4 cases). Ten cases were complicated with other respiratory abnormalities,including laryngomalacia and tracheomala-cia. Three patients were just isolated CCTR. All the patients were discharged from hospital with an average 10. 75 days of hospital stays. A total of 62. 5％ of these children were misdiagnosed as asthma or laryngeal laryngomalacia. Conclusions The main clinical manifestations are recurrent wheezing and/ or stridor in children with CCTR. They are always complicated with bronchial,pulmonary and cardiovascular malformations. CCTR has an adverse effect on the growth of children. Children with CCTR have a high risk of recurrent lower respiratory tract infection. Bronchoscopy should be performed in children with recurrent wheezing or stridor to determine whether CCTR exists.
