一个错误诊断的喉外体导致小儿病人的反复喘息:病例报告
Francesca Fraccaroli1,2, Davide Tosini1,2, Giorgia Lerario1,2
1Department of Otolaryngology and Head and Neck Surgery Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico Milan Italy.
Clinical case reports
|July 3, 2023
概括
儿童出现不明原因的复发性呼吸道症状可能表明隐藏的气道异物. 及时的呼吸道内镜检查对于所有儿科病例的诊断和治疗至关重要,无论年龄如何.
科学领域:
- 儿科肺病学 儿科肺病学
- 儿科耳鼻喉科 儿科耳鼻喉科
- 儿科麻醉学 儿科麻醉学
背景情况:
- 儿童经常出现复发性呼吸道症状,通常缺乏明确的临床原因.
- 儿科呼吸道中的异物可以呈现出各种,有时微妙的症状.
- 对气道异物体的延迟诊断可能会导致严重的发病率.
研究的目的:
- 强调怀疑有不明原因的呼吸道症状的儿童呼吸道异物的重要性.
- 介绍一例儿童患者成功移除异物体的案例.
- 强调呼吸道内镜在诊断和管理这种病例中的作用.
主要方法:
- 一个13个月大的患者的病例报告,患有下外体.
- 诊断的直接喉腔外骨镜.
- 在无管全身麻醉下手术移除异物,自发呼吸.
主要成果:
- 一个错误诊断的小结节外体被确定为失声症和呼吸困扰的原因.
- 取得了成功的异物体的去除.
- 患者耐受无管全身麻醉,自发呼吸.
结论:
- 在患有反复出现,不明原因的呼吸道症状的儿科患者中,应强烈怀疑气道异物.
- 直接喉外镜是儿童呼吸道异物检测的重要诊断和治疗工具.
- 在自发呼吸中无管全身麻醉是儿科患者呼吸道外体清除的可行选择.
相关概念视频
Pulmonary Cycle: Exhalation
1.6K
In terms of human respiration, the act of expelling air, known as exhalation (or expiration), operates on the principle of pressure gradients. During expiration, the pressure within the lungs exceeds that of the surrounding atmosphere. Under normal conditions, quiet breathing involves passive exhalation and is free of muscular contractions. This is because the exhalation process is driven by the natural elastic recoil of the lungs and chest wall, both of which have an inherent tendency to...
1.6K
Respiratory System Abnormal Finding II: Palpation and Auscultation
554
In assessing respiratory abnormalities, palpation and auscultation are critical tools for detecting and interpreting various pathophysiological changes. These techniques provide insight into underlying disorders by evaluating tactile sensations and sounds produced by the respiratory system.
Palpation Findings
During a respiratory assessment, palpation can reveal several vital abnormalities:
Palpation Findings
During a respiratory assessment, palpation can reveal several vital abnormalities:
554
Physical Assessment of the Respiratory Tract IV: Auscultation
477
Auscultation is a crucial component of the physical assessment of the respiratory tract. It offers valuable insights into airflow through the bronchial tree and potential lung obstructions. This process involves careful listening to breath, voice, and adventitious sounds, which can reveal a wealth of information about a patient's respiratory health.
Breath Sounds
Breath sounds are categorized into vesicular, bronchovesicular, and bronchial.
Breath Sounds
Breath sounds are categorized into vesicular, bronchovesicular, and bronchial.
477
Asthma-III: Symptoms and Complications
2.5K
Asthma, a common chronic respiratory condition, is classified considering the frequency and severity of symptoms alongside lung function impairment. Understanding this classification is essential for appropriate treatment and management. Here's a detailed look at the classification of asthma and its clinical features and complications:
Classification of Asthma
Classification of Asthma
2.5K
Respiratory System Abnormal Finding I: Inspection and Percussion
313
Respiratory system abnormalities are a significant concern in healthcare due to their potential to indicate underlying severe conditions like Chronic Obstructive Pulmonary Disease (COPD), asthma, and pneumonia. These abnormalities can often be detected through physical examination methods like inspection and percussion.
Inspection Findings
During an inspection, several findings may suggest the presence of respiratory distress or disease. Pursed-lip breathing, where exhalation is slowed by...
Inspection Findings
During an inspection, several findings may suggest the presence of respiratory distress or disease. Pursed-lip breathing, where exhalation is slowed by...
313
Gastroesophageal Reflux Disease II: Clinical Features and Management
116
Gastroesophageal reflux disease, or GERD, is a persistent medical condition that affects many individuals worldwide. Its clinical manifestations can vary greatly, making diagnosis and management challenging for healthcare professionals. The following is a comprehensive overview of the clinical manifestations, assessment, and management strategies for GERD.
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
116


