以喉鸣为首发症状儿童喉结核1例并文献复习  

Laryngeal stridor as the first symptom of laryngeal tuberculosis in a child:a case report and literature review

作　　者：王亚芳[1] 赵海涛[2] 王娟[1] 刘晓峰[1] 阎玉彦[1] 温鑫[1] WANG Yafang;ZHAO Haitao;WANG Juan;LIU Xiaofeng;YAN Yuyan;WEN Xin(Department of Otorhinolaryngology,Hebei Children Hospital,Shijiazhuang 050031,Hebei,China;Department of Anesthesiology,Hebei Children Hospital,Shijiazhuang 050031,Hebei,China)

机构地区：[1]河北省儿童医院耳鼻喉科,河北石家庄050031 [2]河北省儿童医院麻醉科,河北石家庄050031

出　　处：《山东大学耳鼻喉眼学报》2024年第1期51-53,共3页Journal of Otolaryngology and Ophthalmology of Shandong University

摘　　要：目的探讨儿童喉结核的临床表现、喉镜下特征性形态特点以及诊断策略。方法回顾分析1例喉结核患儿的临床资料并复习相关文献进行总结。结果儿童喉结核起病隐匿,肺部和全身症状不典型,而以喉部症状较为突出。喉结核最终确诊需要依据病理学检查和结核杆菌检测结果。纤维喉镜作为局部检查是早期发现喉结核的有利的方法之一。结论熟悉掌握儿童喉结核临床特征及喉镜下形态特点,可以避免因对喉结核认识不足产生延误诊断。Objective To investigate the clinical manifestations,distinctive morphological features under laryngoscope,and diagnostic strategies of laryngeal tuberculosis in children.Methods A retrospective analysis was conducted on the clinical data of children diagnosed with laryngeal tuberculosis,supplemented by a comprehensive review of relevant literature.Results The study revealed that laryngeal tuberculosis in children often manifests with an insidious onset.While pulmonary and systemic symptoms are not typical,laryngeal symptoms are prominent.The definitive diagnosis of laryngeal tuberculosis relies on pathological examination and Mycobacterium tuberculosis test results.Fiberoptic laryngoscopy was identified as a valuable method for early detection of laryngeal tuberculosis in children.Conclusion A comprehensive understanding of the clinical features and morphological characteristics of laryngeal tuberculosis in children is crucial to prevent delays in diagnosis.Familiarity with the distinct manifestations observed through laryngoscopy can contribute to early detection and timely management of laryngeal tuberculosis in pediatric patients.

关 键 词：喉结核 儿童 喉镜 

分 类 号：R767.1[医药卫生—耳鼻咽喉科]