Kartagener综合征1例报告。

0 CRITICAL CARE MEDICINE
Canadian Journal of Respiratory Therapy Pub Date : 2021-04-21 eCollection Date: 2021-01-01 DOI:10.29390/cjrt-2020-064
Rahaf Ibrahim, Huda Daood
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引用次数: 6

摘要

Kartagener综合征是一种罕见的常染色体隐性遗传疾病,引起睫状体运动功能缺陷,包括三联位倒置、慢性鼻窦炎和支气管扩张。我们提出的情况下,3岁的男孩反复呼吸道感染和肺炎感染的急性呼吸衰竭。根据他的临床表现和影像学特征,诊断为Kartagener综合征。目前的诊断符合严重急性支气管炎。他最初接受了常规药物治疗,但没有反应,立即被转移到儿科重症监护室,在那里进行了无创通气。他显示出早期无创通气失败的显著预测因素,并进行机械通气,此后,他与呼吸机断开,无并发症出院。在反复出现上呼吸道和下呼吸道感染的患者中,应始终牢记卡塔格纳综合征。在生命早期正确诊断这种疾病对预防并发症和提高患者的生活质量非常重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Kartagener syndrome: A case report.

Kartagener syndrome: A case report.

Kartagener syndrome: A case report.

Kartagener syndrome: A case report.

Kartagener syndrome is a rare, autosomal recessive genetic disorder that causes defects in the action of ciliary movement, comprises of triad situs inversus, chronic sinusitis, and bronchiectasis. We present the case of a 3-year-old boy with repeated respiratory infections and pneumonic infections presenting with acute respiratory failure. He was diagnosed with Kartagener syndrome based on his clinical presentation and imaging features. The current diagnosis was consistent with severe acute bronchitis. He was managed initially with conventional medical therapy, but he didn't respond and was transferred immediately to the pediatric intensive care unit where noninvasive ventilation was administered. He had shown significant predictors of early noninvasive ventilation failure and was mechanically ventilated, after which, he was disconnected from the ventilator and discharged without complications. In patients presenting with recurrent upper and lower respiratory tract infections, Kartagener syndrome should always be kept in mind. The correct diagnosis of this disorder in early life is very important to prevent complications and improve patients' quality of life.

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来源期刊
Canadian Journal of Respiratory Therapy
Canadian Journal of Respiratory Therapy Health Professions-Health Professions (miscellaneous)
CiteScore
2.00
自引率
0.00%
发文量
34
期刊介绍: The CJRT is published four times a year and represents the interests of respiratory therapists nationally and internationally. The CJRT has been redesigned to act as an educational dissemination tool. The CJRT encourages submission of original articles, papers, commentaries, case studies, literature reviews and directed reading papers. Submissions can be sent to Rita Hansen.
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