儿童塑型性支气管炎的临床特征及鉴别诊断  

Clinical manifestations and differential diagnosis of plastic bronchitis in children

作　　者：张光莉[1] 罗征秀[1] Zhang Guangli;Luo Zhengxiu(Department of Respiratory,Children′s Hospital of Chongqing Medical University,National Clinical Research Center for Child Health and Disorders,Ministry of Education Key Laboratory of Child Development and Disorders,Chongqing Key Laboratory of Pediatrics,Chongqing 400014,China)

机构地区：[1]重庆医科大学附属儿童医院呼吸科,国家儿童健康与疾病临床医学研究中心,儿童发育疾病教育部重点实验室,儿科学重庆市重点实验室,400014

出　　处：《中华实用儿科临床杂志》2021年第4期248-250,共3页Chinese Journal of Applied Clinical Pediatrics

基　　金：国家临床重点专科建设项目(2011-873)。

摘　　要：塑型性支气管炎(PB)是指内生性异物局部或广泛性堵塞支气管,导致部分或全部通气功能障碍的一种疾病。PB临床表现不具有特异性,常表现为咳嗽、进行性呼吸困难和难以改善的低氧血症;而经支气管镜取出塑型物后,呼吸困难及低氧血症可迅速缓解。现重点阐述PB的临床特征及鉴别诊断,旨在提高临床医师对该病的诊断水平。Plastic Bronchitis(PB)is a condition characterized by formation of plugs or casts in the tracheobronchial tree,which can induce partial or complete airway obstruction and ventilatory dysfunction.The clinical manifestations are nonspecific,usually including cough,progressive dyspnea and refractory hypoxemia.However,dyspnea and hypoxemia can be quickly improved by removing branching casts with bronchoscopy.Now,the the clinical features and differential diagnosis of PB are described in this article,in order to improve the diagnosis of the disease.

关 键 词：塑型性支气管炎 临床特征 鉴别诊断 儿童 

分 类 号：R725.6[医药卫生—儿科]