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Clincal study on diagnosis,classification and airway management of tracheal bronchus in children
Pages: 403-406
Year: Issue:  5
Journal: Pediatric Emergency Medicine

Keyword:  Tracheal bronchusBronchoscopic examinationCongenital heart diseasesChildren;
Abstract: Objective To study diagnose,classification and airway management of tracheal bronchus in children.Methods Nine children with wheezing were examined by chest CT scanning(three-dimensional airway reconstruction) and 5 children underwent fiberoptic bronchoscopy.Results According to chest CT scanning of three-dimensional airway reconstruction,seven of the nine children were found to suffer from tracheal bronchus.Fiberobronchoscopic examination confirmed that all the five children hadt racheal bronchus including 2 children with negative result of chest CT scanning of three-dimensional airway reconstruction.At the same time,we detected other airway abnormalities including trachea or bronchus stenosis,epiglottis malacoma and glottis paralysis.Conclusion Tracheal bronchus was usually found by a chance.Bronchoscopic examination is the gold standard for diagnosis.If a child is associated with congenital heart diseases,intensive care and surgical repair in time are usually necessary for achieving higher survival rate.A child with tracheal bronchus usually needs tracheal intubation or one-lung ventilation,thus airway management should be focused on.
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