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《Chinese General Practice》 2015-30
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Tracheobronchial Tuberculosis Complicated With Extensive Fracture of Tracheal Cartilage Ring: A Case Report and Literature Review

LIU Yan-hong;LIU Li-qiong;LI Ying;Wuhan University School of Basic Medical Sciences;  
Objective To improve the understanding of tracheobronchial tuberculosis( TBTB) complicated with extensive fracture of trachea cartilage ring. Methods The patient was female. She was admitted into the hospital on August 22,2013 after three months' cough and expectoration,half month's aggravation with hoarseness and also with afternoon hot flash and night sweat. She was diagnosed with secondary pulmonary tuberculosis and tracheobronchial tuberculosis complicated with extensive fracture of trachea cartilage ring. The clinical data of the patients were analyzed,and literature review was made. Results The clinical manifestations included cough,expectoration,hoarseness,afternoon hot flash,night sweat,caseous necrosis in trachea and left principal bronchus observed by bronchoscope and extensive fracture of trachea cartilage ring. The patient was treated by systemic anti- tuberculosis chemotherapy, frozen therapy under bronchoscope and drug administration within trachea. Through the treatment,the clinical symptoms were relieved,the fracture of trachea cartilage ring basically recovered,and no collapse occurred in cartilage ring. Conclusion The fractureof trachea cartilage ring is a serious type of tracheobronchial tuberculosis. For young patients who have potential in the regeneration of cartilage cells, besides effective antituberculous measures in the early stage,frozen therapy under bronchoscope and drug administration within trachea should also be conducted,so that trachea cartilage ring could partly or completely recover.
【Fund】: 云南省科技惠民计划项目(2014RA020)
【CateGory Index】: R521
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