在儿童中呈现为复发性肺炎的食道:一个病例系列
Ali Alsuheel Asseri1, Ayed A Shati1, Ibrahim Al-Benhassan2
1Department of Child Health, College of Medicine, King Khalid University, Abha, Saudi Arabia.
Medicine
|November 4, 2024
概括
儿童的食道 (EA) 可以导致慢性咳和肺炎. 早期诊断和腹腔镜赫勒肌切除术有效地解决了儿科患者的症状.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 儿科肺病学 儿科肺病学
- 罕见的食道运动障碍 食道运动障碍
背景情况:
- 食道 (EA) 是儿童罕见的食道运动障碍.
- 病理生理学涉及远距离食道中质细胞的损失,损害了下食道关节的放松.
- 常见的症状包括消化不良,吐,体重增加不良,咳和复发的吸入性肺炎.
研究的目的:
- 报告三个儿童EA病例,呈现慢性咳和复发性吸入性肺炎.
- 突出考虑EA在儿科呼吸道疾病差异诊断中的重要性.
- 强调早期诊断和治疗的有效性.
主要方法:
- 对三个患有EA症状的儿科患者的综述.
- 诊断工作包括食管图,心声图,脑部MRI和腹部超声波.
- 治疗包括气动气球扩张和腹腔镜赫勒骨髓切割.
主要成果:
- 这三名患者都被诊断出单独的EA,并出现了复发性肺炎.
- 没有发现相关的先天性异常或奥尔格罗夫综合征.
- 所有患者在肺气球扩张和腹腔镜赫勒骨髓切割后都经历了症状缓解,没有并发症.
结论:
- 脑脊髓炎是一种罕见但严重的儿童疾病,经常出现呼吸道症状.
- 考虑到胃肠道疾病,特别是EA,对于诊断儿童复发性肺炎至关重要.
- 早期诊断和腹腔镜赫勒肌切除术导致了有利的结果.
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