论文部分内容阅读
目的提高对肺动脉吊带畸形(pulmonary artery sling,PAS)的认识及早期诊治水平,减少漏诊、误诊。方法回顾分析2012年11月至2013年1月在中国医科大学附属盛京医院就诊的2例婴幼儿PAS的临床资料,并进行相关文献复习,评价增强三维CT、心脏彩超、磁共振等辅助检查在PAS诊断中的作用。结果本文2例患儿主要临床表现为反复呛奶、喉鸣,对常规治疗效果不满意。后1例经胸部增强三维CT确诊PAS,1例经心脏增强三维CT联合心脏彩超确诊PAS。结论对婴幼儿早期出现反复呛奶、喉鸣、肺部感染等呼吸道症状而常规治疗效果不满意者应考虑PAS存在的可能。心脏彩超、增强三维CT、磁共振等辅助检查对PAS的临床诊断具有重要价值。
Objective To improve the understanding and early diagnosis and treatment of pulmonary artery sling (PAS) and reduce the missed diagnosis and misdiagnosis. Methods The clinical data of 2 infants and young children with PAS admitted to Shengjing Hospital affiliated to China Medical University from November 2012 to January 2013 were retrospectively reviewed. The related literatures were reviewed, and the auxiliary examinations such as enhanced three-dimensional CT, echocardiography and magnetic resonance imaging were reviewed. Role in PAS diagnosis. Results The main clinical manifestations of 2 cases of this article were repeated choking milk, throat, the results of conventional treatment are not satisfied. One case was confirmed by thoracic enhanced three-dimensional computed tomography (PAS) and one case was confirmed by cardiac enhanced three-dimensional CT combined with cardiac ultrasonography. Conclusion PAS may be considered in those who are not satisfied with the conventional treatment of respiratory symptoms such as repeated choking, laryngeal infection and pulmonary infection in infants and young children. Cardiac ultrasound, enhanced three-dimensional CT, MRI and other auxiliary examination of PAS clinical diagnosis of great value.