隐藏的食道外体伪装成异常的无名动脉在一个婴儿的经常性动器
Wei-Li Liu1, Chen-Hao Wu2, Teh-Ming Wang3
1Department of Pediatrics, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Chiayi County, Taiwan.
JACC. Case reports
|December 12, 2025
概括
一个婴儿是一个婴儿.
科学领域:
- 儿科肺病学 儿科肺病学
- 儿科胃肠病学 儿科胃肠病学
背景情况:
- 经常出现的婴儿喘息声和声往往暗示呼吸道异常.
- 食道外体可以通过气道压缩来模仿这些症状.
研究的目的:
- 为突出患有呼吸道症状的婴儿食道异物诊断的挑战.
- 强调考虑持续呼吸困难的非呼吸道原因的重要性.
主要方法:
- 一个13个月大的男孩的案例研究,经常出现喘息和喘.
- 包括胸部放射和内镜在内的初步调查得不到结论.
- 对比增强型计算机断层扫描 (CT) 确定了气管压缩,从而诊断出食道外体.
主要成果:
- 与对比度增强的CT精确地识别了食道的塑料外体,导致气管压缩.
- 外体的内镜去除完全解决了婴儿的喘息和喘.
- 这一案例凸显了食道外体模仿血管异常的潜力.
结论:
- 食道外体可以呈现异常,模仿血管异常,并使婴儿的诊断复杂化.
- 临床医生必须考虑食道异物在婴儿有不明原因的呼吸道症状.
- 像CT这样的高级成像对于区分气管压缩原因至关重要.
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