先天性心脏病合并气道异常的诊治进展  

Progress in the diagnosis and treatment of congenital heart disease with airway anomalies

作　　者：刘慧(综述)[1] 刘晓燕(审校)[1] 

机构地区：[1]重庆医科大学附属儿童医院心内科,400014

出　　处：《国际儿科学杂志》2013年第5期446-449,共4页International Journal of Pediatrics

基　　金：基金项目：重庆市教委科研项目（KJ100323）

摘　　要：先天性心脏病与气道异常存在相关性，某些特殊类型的心血管畸形，如血管环伴气道异常的发病率较高。先天性心脏病合并气道异常临床易被忽略，反复喘鸣、呼吸衰竭、插管困难或术后撤机困难的先天性心脏病患儿，应考虑合并气道异常可能。多排螺旋CT、纤维支气管镜检查对早期诊断、指导治疗起重要作用。治疗方案的选择取决于气道异常的类型，气道病变的部位及程度。Congenital heart disease and airway anomalies are correlated, and some special cardiovascular anomalies accompanying with airway anomalies like vascular rings, have a high morbidity. Congenital heart dis- ease with airway anomalies is usually ignored in clinic. It should be considered that congenital heart disease with airway anomalies exists in children with the symptoms, such as repeated stddor, respiratory failure, difficult intu- bation or failure of postoperative ventilator weaning. Multidetector helical CT and bronchoscopy are important for making early diagnosis and guiding management for congenital heart disease with airway anomalies. The choice of therapeutic approaches depends on the type of airway anomalies,location and degree of the lesion.

关 键 词：先天性心脏病 气道异常 相关性 

分 类 号：R541.1[医药卫生—心血管疾病]