先天性会厌囊肿临床表现及误诊分析  

Analysis of clinical manifestations and misdiagnosis of congenital vallecular cyst

作　　者：孙昌志[1] 罗仁忠[1] 刘大波[1] 温瑞金[1] 黄振云[1] 陈倩[1] 周丽枫[1] 

机构地区：[1]广州市儿童医院耳鼻咽喉科,广州510120

出　　处：《临床耳鼻咽喉头颈外科杂志》2008年第15期697-698,共2页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:探讨先天性会厌囊肿临床表现及误诊原因。方法:回顾性分析19例先天性会厌囊肿患儿临床表现及诊治经过。结果:19例患儿临床表现包括喉喘鸣、呼吸急促、吸气性呼吸困难、吸奶中断或呛咳、哭声低弱含混等。其中15例首诊被误诊:诊为新生儿肺炎者9例(47.4%),支气管肺炎5例(26.3%),咽喉炎1例(5.3%)。所有患儿行小儿超细纤维喉镜检查后诊断为先天性会厌囊肿,并经病理证实。结论:本病临床易误诊,对于出现喉喘鸣伴有上呼吸道阻塞症状的患儿,应尽早作上呼吸道检查。小儿超细纤维喉镜检查可明确病因,及时治疗。Objective：To analyze the clinical manifestations and the cause of misdiagnosis of congenital vallecular cyst. Method：Nineteen cases of congenital vallecular cysts were collected and reviewed retrospectively. Their clinical manifestations and diagnosis were analyzed. Result：Their clinical manifestations included inspiratory stridor, respiratory distress, inspiratory dyspnea, feeding difficulty etc. Among 19 cases, 15 cases were misdiagnosed as neonate pneumonia （9 cases）, bronchial pneumonia （5 cases）, and laryngitis （1 case）, respectively. All cases were diagnosed as congenital vallecular cysts by fibrolaryngoscope. The diagnosis was confirmed by pathological examination. Conclosion：Congenital vallecular cyst is fairly uncommon. To cure these patients on time, early examnition of upper airway is recommended for patients with inspiratory stridor and inspiratory dyspnea. Fibrolaryn-goscope would be useful for diagnosis and timely treatment.

关 键 词：会厌囊肿 先天性 新生儿 误诊 

分 类 号：R767.5[医药卫生—耳鼻咽喉科]