PDF(Pubmed)
Abstract：
Hemangiomas are the most common vascular tumors in children. Although hemangiomas are common, they are rarely seen in areas like the trachea and larynx.The most common clinical manifestations in tracheal hemangiomas are stridor and respiratory distress. The main diagnostic method is bronchoscopy. Other imaging techniques like computed tomography scans and MRIs are also helpful. Various treatment options are now used for treating the disease, including beta blockers like propranolol, local and systemic steroids, and surgical resection.
UNASSIGNED: An 8-year-old boy with the chief complaint of severe progressive dyspnea and a history of neonatal postbreastfeeding cyanosis was admitted. On physical examination, he had tachypnea, and stridor was heard upon auscultation. There was no history of fever, chest pain, or coughing. He underwent a rigid bronchoscopy followed by a neck computed tomography scan. The results indicated a soft tissue mass with a vascular nature. An MRI of the neck confirmed the diagnosis of tracheal hemangioma. The mass was not resectable during surgery; hence, angioembolization was carried out. Treatment was successful and there was no recurrence on the follow-up.
UNASSIGNED: Based on the findings in this literature review tracheal hemangiomas present with stridor, progressive respiratory distress, dyspnea, hemoptysis, and chronic coughs. Advanced tracheal hemangiomas commonly do not reduce in size by themselves and need treatment. A close follow-up ranging from 3 months to 1 year is recommended.
UNASSIGNED: Although tracheal hemangiomas are rare they should be considered in the differential diagnosis of severe dyspnea and stridor.
UNASSIGNED: An 8-year-old boy with the chief complaint of severe progressive dyspnea and a history of neonatal postbreastfeeding cyanosis was admitted. On physical examination, he had tachypnea, and stridor was heard upon auscultation. There was no history of fever, chest pain, or coughing. He underwent a rigid bronchoscopy followed by a neck computed tomography scan. The results indicated a soft tissue mass with a vascular nature. An MRI of the neck confirmed the diagnosis of tracheal hemangioma. The mass was not resectable during surgery; hence, angioembolization was carried out. Treatment was successful and there was no recurrence on the follow-up.
UNASSIGNED: Based on the findings in this literature review tracheal hemangiomas present with stridor, progressive respiratory distress, dyspnea, hemoptysis, and chronic coughs. Advanced tracheal hemangiomas commonly do not reduce in size by themselves and need treatment. A close follow-up ranging from 3 months to 1 year is recommended.
UNASSIGNED: Although tracheal hemangiomas are rare they should be considered in the differential diagnosis of severe dyspnea and stridor.
摘要：
血管瘤是儿童最常见的血管肿瘤。虽然血管瘤很常见，它们在气管和喉等部位很少见。气管血管瘤最常见的临床表现是喘鸣和呼吸窘迫。主要的诊断方法是支气管镜检查。其他成像技术，如计算机断层扫描和MRI也很有用。现在使用各种治疗方案来治疗这种疾病，包括普萘洛尔等β受体阻滞剂,局部和全身类固醇，和手术切除。
■收治一名8岁男童，主诉为重度进行性呼吸困难，有新生儿母乳喂养后紫癜病史。在体检时，他有呼吸急促,听诊时听到了喘鸣。没有发烧史,胸痛,或者咳嗽.他接受了严格的支气管镜检查，然后进行了颈部计算机断层扫描。结果表明软组织块具有血管性质。颈部MRI证实了气管血管瘤的诊断。手术期间无法切除肿块；因此，进行血管栓塞。治疗成功，随访中无复发。
■根据这篇文献中的发现，综述了气管血管瘤伴喘鸣，进行性呼吸窘迫,呼吸困难,咯血,和慢性咳嗽。晚期气管血管瘤通常不会自身缩小，需要治疗。建议进行3个月至1年的密切随访。
■尽管气管血管瘤很少见，但在严重呼吸困难和喘鸣的鉴别诊断中应考虑它们。
■收治一名8岁男童，主诉为重度进行性呼吸困难，有新生儿母乳喂养后紫癜病史。在体检时，他有呼吸急促,听诊时听到了喘鸣。没有发烧史,胸痛,或者咳嗽.他接受了严格的支气管镜检查，然后进行了颈部计算机断层扫描。结果表明软组织块具有血管性质。颈部MRI证实了气管血管瘤的诊断。手术期间无法切除肿块；因此，进行血管栓塞。治疗成功，随访中无复发。
■根据这篇文献中的发现，综述了气管血管瘤伴喘鸣，进行性呼吸窘迫,呼吸困难,咯血,和慢性咳嗽。晚期气管血管瘤通常不会自身缩小，需要治疗。建议进行3个月至1年的密切随访。
■尽管气管血管瘤很少见，但在严重呼吸困难和喘鸣的鉴别诊断中应考虑它们。
