累及气道的复发性多软骨炎12例临床特点分析  

Clinical features of 12 patients with relapsing multiple cartilaginous inflammation involving the airway

作　　者：王健[1] 田欣伦[2] Wang Jian;Tian Xinlun(Department of Respiratory Medicine,Konggang Hospital of Shunyi District,Beijing City 101318;Department of Respiratory,Peking Union Medical College Hospital 100032)

机构地区：[1]北京市顺义区空港医院呼吸内科,101318 [2]北京协和医院呼吸科,100032

出　　处：《中国社区医师》2017年第19期66-67,69,共3页Chinese Community Doctors

摘　　要：目的:探讨累及气道的复发性多软骨炎的临床特点。方法:收治累及气道的复发性多软骨炎患者12例,回顾性分析其临床资料。结果:12例患者均有声嘶、咳嗽、咳痰、胸痛、胸闷、气短等。肺功能检查为阻塞性通气功能障碍或混合性通气功能障碍。胸部CT检查主要表现为气道壁不同程度的增厚、软骨钙化、气道塌陷狭窄、肺部感染和肺不张。支气管镜检查可见气道黏膜充血水肿、软骨环模糊或消失。骨扫描检查可见肋软骨、甲状软骨和四肢关节病变。治疗包括糖皮质激素、抗感染、免疫抑制剂等,11例症状减轻,1例治疗无效。结论:累及气道的复发性多软骨炎的临床表现多种多样,有时会误诊。对呼吸道症状反复发作患者,要提高警惕,逐步进行肺功能、胸部CT、支气管镜及骨扫描等检查,做到及时诊断,并进行有效治疗。Objective:To explore the clinical features of relapsing multiple cartilaginous inflammation involving the airway.Methods:12patients with relapsing multiple cartilaginous inflammation involving the airway were selected,and the clinical data were retrospectively analyzed.Results:12patients all had hoarseness,cough,sputum,chest pain,chest tightness,shortness of breath.Pulmonary function tests were obstructive ventilatory dysfunction or mixed ventilation dysfunction.The main manifestations of chest CT examination were thickening of the airway wall,calcification of the cartilage,airway collapse,pulmonary infection and atelectasis.The main manifestations of bronchoscopy examination were airway mucosal hyperemia and edema,blurred or disappeared cartilage ring.The main manifestations of bone scan examination were costal cartilage,thyroid cartilage and joint diseases.Treatment modalities included corticosteroids,anti-inflammatory and immunosuppressive agents,11cases were relieved,and1case was invalid.Conclusion:Clinical manifestations of relapsing multiple cartilaginous inflammation involving the airway were diverse,and sometimes it can be misdiagnosed.For patients with recurrent respiratory symptoms,we should be vigilant,and gradually performed pulmonary function,chest CT,bronchoscopy and bone scan,so as to make timely diagnosis and effective treatment.

关 键 词：复发性多软骨炎 气道 临床特点 

分 类 号：R56[医药卫生—呼吸系统]