心肺血管病杂志2024,Vol.43Issue(5) :464-468.DOI:10.3969/j.issn.1007-5062.2024.05.007

巨气管支气管症临床特点分析

Analysis of clinical characteristics of four cases of tracheobronchomegaly

吴艳军 林芳 于刚刚 徐波 姚志刚
心肺血管病杂志2024,Vol.43Issue(5) :464-468.DOI:10.3969/j.issn.1007-5062.2024.05.007

巨气管支气管症临床特点分析

Analysis of clinical characteristics of four cases of tracheobronchomegaly

吴艳军 1林芳 1于刚刚 1徐波 1姚志刚1
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作者信息

  • 1. 100050 首都医科大学附属北京友谊医院 慢性阻塞性肺疾病及呼吸介入治疗
  • 折叠

摘要

目的:分析巨气管支气管症(tracheobronchomegaly,TBM)患者临床特点,以期提高临床医师对该疾病诊疗认识.方法:回顾性收集首都医科大学附属北京友谊医院呼吸内科近5年诊断巨气管支气管症患者临床资料,分析其基本情况、临床症状及体征、影像等临床资料.结果:共收集4例患者,临床症状主要为咳嗽、咳痰及喘憋.男女各2例,最小年龄65岁,最大90岁,女性患者无吸烟史,2例男性患者均有吸烟,均有不同程度的气管扩张,2例患者合并耐药的铜绿假单胞菌感染,1例患者合并结核感染,气管插管1例,死亡1例.结论:巨气管支气管症常合并支气管扩张,可合并耐药菌感染,对症治疗尤其是控制感染尤为重要,高龄患者预后差,气道管理复杂,应予以重视.

Abstract

Objective:To analyze the clinical characteristics of patients with tracheobronchomegaly,in order to improve clinical physicians'understanding of the diagnosis and treatment of this disease.Methods:Retrospective collection of clinical data from patients diagnosed with tracheobronchomegaly disease in the respiratory department of Beijing Friendship Hospital,Capital Medical University over the past 5 years,analysis of their basic conditions clinical symptoms and signs,imaging examination and other clinical data.Results:A total of 4 patients were collected,and their clinical symptoms were mainly cough,sputum production,and wheezing.Two patients were male and the other two patients were female,with a minimum age of 65 years and a maximum age of 90 years.Two female patients had no smoking history,while two male patients were both smokers,and all patients had different degrees of bronchiectasis.2 patients were infected with drug-resistant pseudomonas aeruginosa,1 patient was infected with tuberculosis,1 patient was intubated,and 1 patient died.Conclusions:Tracheobronchomegaly often accompanies bronchiectasis and can be accompanied by drug-resistant bacterial infections.Symptomatic treatment,especially infection control,is particularly important.The prognosis of elderly patients is poor,and airway management is complicated,which should be taken seriously.

关键词

巨气管/莫-昆综合征/支气管扩张

Key words

Tracheobronchomegaly/Mounier-Kuhn syndrome/Bronchiectasia

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基金项目

国自然青年科学基金项目(82000042)

北京市临床重点专科建设项目(2020-2022)()

北京市通州区科技计划项目(KJ2023CX018)

出版年

2024
心肺血管病杂志
北京市心肺血管疾病研究所,首都医科大学附属北京安贞医院

心肺血管病杂志

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影响因子:1.214
ISSN:1007-5062
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