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《Radiologic Practice》 2018-04
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The diagnostic value of fiberoptic bronchoscopy combined with 320 row CT in pediatric cardiopulmonary malformation and tracheobiliary fistula

CHEN Xue-li;XIA Wei;HUANG Yang;Department of Pediatric Respiratory,Hubei Province Maternity and Child Care Hospital;  
Objective:To study the diagnostic value of fiberoptic bronchoscopy combined with320 row CT in pediatric cardiopulmonary malformation and tracheobiliary fistula.Methods:Five cases with congenital airway and cardiovascular malformation in our hospital were included in this study.We retrospectively analyzed the diagnosis and treatment and summarize the application of inspection technology and methods to evaluate the significance of the fiberoptic bronchoscopy and 320 row CT in complex pediatric respiratory diseases.Results:Five cases were clinically characterized by recurrent pneumonia and atelectasis accompanied by cough,shortness of breath,hemoptysis and other symptoms.Onset age:newborn to 5 years.The findings of fiberoptic bronchoscopy combined with 320 row CT:a case of newborn pseudoaneurysm,a case of neonatal double aortic arch,a case of absence of left pulmonary vein,and a case of absence of right pulmonary veins.But a case of 3 years old child was found negative by 320 row CT and was diagnosed as congenital tracheobiliary fistula by fiberoptic bronchoscopy and iodized oil contrast examination.Conclusion:Fiberoptic bronchoscopy combined with320 row CT can accurately diagnose congenital cardiopulmonary malformation.In addition,some cases with complex airway malformation need fiberoptic bronchoscopy combined with X-ray iodized oil imaging.
【CateGory Index】: R725;R816.92
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