有趣的声门下血管瘤病例,伴有喘鸣

Bhavya Patel, B. Shah, Ashish Mehta, Abhijit Mehta, Vaidehi Shah
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引用次数: 0

摘要

与皮肤血管瘤相比,声门下血管瘤是一种非常罕见的婴儿血管瘤,但如果不及时诊断或治疗,可能会危及生命。在此,我们报告了一例早产儿病例,患者在门诊中突然出现吸气性喘息和呼吸困难,而之前他是一名正常儿童。患者起初被误诊为咳嗽,在雾化吸入肾上腺素和类固醇后病情未见好转,后来直接喉镜检查显示声门下狭窄。 后来做了 CT 扫描,发现声门下血管瘤,开始口服普萘洛尔后症状完全缓解。为了获得良好的治疗效果,有必要采取谨慎的方法来诊断和处理可能由结构性原因引起的突发性呼吸困难。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Interesting case of subglottic hemangioma presented with stridor
Subglottic hemangioma is a very rare infantile form of hemangioma as compared to cutaneous hemangioma but if left undiagnosed or untreated can be life-threatening. Here we report one case of preterm who presented with sudden onset of inspiratory stridor and respiratory distress in OPD in a previously normal child. The patient was initially misdiagnosed as croup which did not improve after nebulized adrenaline and steroids later on direct laryngobrochoscopy showed subglottic stenosis.  A CT scan was done later which revealed subglottic hemangioma which showed complete remission in symptoms after starting oral propranolol. A careful approach towards diagnosing and managing the sudden onset of stridor with probable structural cause is necessary for a favorable outcome.
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