在COVID-19后的小结底狭窄模仿支气管喘,通过支气管镜切除治疗
Suzuka Matsuoka1, Yuki Takigawa1, Ken Sato1
1Department of Respiratory Medicine NHO Okayama Medical Center Okayama Japan.
Respirology case reports
|October 24, 2025
概括
一名妇女在COVID-19后出现了呼吸短促,后来被诊断出患有肠下狭窄症. 这种第一例的病例突出了罕见的病毒后并发症,需要支气管镜干预以缓解症状.
科学领域:
- 肺部病理学 肺部病理学
- 临界护理医学 临界护理医学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- COVID-19 可以导致各种呼吸道并发症.
- 肠下狭窄是一种罕见但严重的呼吸道阻塞.
- 人们越来越多地认识到病毒后呼吸道并发症.
研究的目的:
- 报告在COVID-19之后出现的第一个膜亚结节狭窄病例.
- 描述这种罕见并发症的诊断和管理方法.
- 提高临床医生对COVID-19潜在的呼吸道后果的认识.
主要方法:
- 一个女性患者的病例报告显示,她在COVID-19后出现呼吸障碍.
- 诊断评估包括喉腔镜和支气管镜.
- 干预包括支气管切除和气球扩张.
主要成果:
- 尽管初始治疗喘,但患者呈现出持续性呼吸障碍.
- 内镜评价显示了膜状子结节狭窄症.
- 经过支气管镜干预后,成功地实现了症状改善.
结论:
- 膜状小结节狭窄症是COVID-19的一个潜在的,尽管很少见的并发症.
- 及时诊断和内镜治疗可以有效治疗这种情况.
- 这一案例强调了在持续的COVID-19后呼吸道症状中考虑气道病理的重要性.
相关概念视频
Trachea
4.7K
The trachea, commonly known as the windpipe, is a vital part of the human respiratory system. It serves as a passageway for air to travel between the larynx and the bronchi, allowing oxygen to reach the lungs. Let's explore its anatomical features, dimensions, layers of the tracheal wall, associated muscles, and the functions of its parts.
Anatomical Features:
Location: About half of the trachea is situated in the neck, anterior to the esophagus, and extends from the larynx (at the level of...
Anatomical Features:
Location: About half of the trachea is situated in the neck, anterior to the esophagus, and extends from the larynx (at the level of...
4.7K
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques
467
Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
467
Pulmonary Cycle: Exhalation
3.0K
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...
3.0K
Tracheostomy Decannulation
1.2K
Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
1.2K
COPD: Management Using Bronchodilators and Corticosteroids
722
Chronic obstructive pulmonary isease (COPD) involves a group of progressive lung disorders characterized by persistent airflow limitation and chronic respiratory symptoms. Asthma-COPD Overlap Syndrome (ACOS), encompassing features of both asthma and Chronic obstructive pulmonary disease (COPD), is a group of progressive lung disorders that includes chronic bronchitis, emphysema, and refractory (non-reversible) asthma. ACOS leads to complex clinical presentations that combine the inflammatory...
722
Endoscopic Studies I: Bronchoscopy and Thoracoscopy
516
Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
516


