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
王亚芳 1赵海涛 2王娟 1刘晓峰 1阎玉彦 1温鑫1
作者信息
- 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
- 折叠
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.
Abstract
Objective To investigate the clinical manifestations,distinctive morphological features under laryngoscope,and diag-nostic strategies of laryngeal tuberculosis in children.Methods A retrospective analysis was conducted on the clinical data of chil-dren 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 laryn-geal 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Key words
Laryngeal tuberculosis/Children/Laryngoscope引用本文复制引用
出版年
2024