儿科1型喉裂中的肺部和放射性发现
Sarah Francisco1, Eleanor Muise2,3, Rachel D'Anna4
1Center for Airway Disorders, Department of Otolaryngology and Communication Enhancement, Boston Children's Hospital and Harvard Medical School, Boston, Massachusetts, USA.
The Laryngoscope
|April 14, 2025
概括
1型喉裂往往会导致儿童的呼吸系统问题和肺部疾病. 内镜修复可以显著改善肺部症状和放射性发现,这表明它.
科学领域:
- 儿科肺病学 儿科肺病学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 遗传性缺陷 遗传性缺陷是一种先天性缺陷
背景情况:
- 喉裂是一种先天性异常,可以导致慢性微吸和肺部疾病.
- 1型喉裂呈现微妙,使治疗决定具有争议性.
- 肺部并发症需要评估和管理策略.
研究的目的:
- 描述1型喉裂儿童的肺部症状和放射性发现.
- 评估内镜CO2-激光修复对这些发现的影响.
- 为了告知关于手术干预的临床决策.
主要方法:
- 儿童患者进行1型喉裂修复的回顾性队列研究 (2003年8月至2022年8月).
- 图表审查包括呼吸史,症状,药物,以及前/后修复胸部X射线 (CXRs).
- 在内镜CO2-激光修复前后对CXR发现的比较.
主要成果:
- 325名儿科患者 (平均年龄为2.6岁) 接受了修复.
- 99%的人出现呼吸道症状;44%的人以前患有肺炎.
- 经过修复后的CXRs显示出大量的减肥和支气管壁加厚.
结论:
- 肺部症状和异常的胸部X射线在1型喉裂中很常见.
- 内镜修复与更好的放射性发现有关.
- 考虑对医疗管理无反应的患者进行内镜修复.
相关概念视频
Respiratory System Abnormal Finding II: Palpation and Auscultation
211
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:
211
Larynx
1.1K
The human larynx, often referred to as the voice box, is an intricate organ located in the neck. It serves as a pathway for air to enter the lungs during respiration and is an essential component of voice production.
Anatomy of the Larynx
The larynx consists of various components, including cartilage, muscles, and vocal cords. Its structure includes three large unpaired cartilages—the thyroid, cricoid, and epiglottis—and three smaller paired cartilages—the arytenoids,...
Anatomy of the Larynx
The larynx consists of various components, including cartilage, muscles, and vocal cords. Its structure includes three large unpaired cartilages—the thyroid, cricoid, and epiglottis—and three smaller paired cartilages—the arytenoids,...
1.1K
Respiratory System Abnormal Finding I: Inspection and Percussion
173
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...
173
Gross Anatomy of the Lungs
1.4K
The lungs are a pair of vital organs connected to the trachea via the left and right bronchi. The base of these organs meets the dome-shaped muscle known as the diaphragm. Encased by the pleurae, the lungs contact the mediastinum. The right lung is shorter yet wider, and has a larger volume than the left lung. The left lung has an indentation known as the cardiac notch. The superior region of the lungs is referred to as the apex, whereas the base is the lower region near the diaphragm. The...
1.4K
Imaging Studies for Cardiovascular System III: X-Ray
113
The most common cardiovascular diagnostic test is an X-ray. It produces images of the heart, blood vessels, and adjacent structures.
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
113
Pulmonary Cycle: Exhalation
1.3K
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...
1.3K


