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目的提高对窒息性胸廓发育不良(ATD)临床表现及影像特征的认识。方法对本院1999-2009年诊断的4例ATD患儿进行回顾性分析,并结合文献对其临床表现、影像学特征及诊治进展进行分析。结果 ATD多见于婴幼儿早期,发病率低,具有特异性胸廓特征并伴有骨盆、四肢的异常改变,伴呼吸系统异常,并可有其他系统合并症。影像学特征为胸廓狭长、骨盆畸形及肢体畸形。结论认识ATD的临床表现、影像表现,对婴幼儿早期反复呼吸道感染的患儿,进行早期影像学检查以明确诊断,避免误诊。
Objective To improve the understanding of clinical manifestations and imaging features of asphyxiated thoracic dysplasia (ATD). Methods Four children with ATD diagnosed in our hospital from 1999 to 2009 were retrospectively analyzed. Their clinical manifestations, imaging features and diagnosis and treatment progress were analyzed. Results ATD more common in infants and young children early, low incidence, with specific thoracic features associated with pelvic, limb abnormalities, with respiratory disorders, and may have other systemic complications. Imaging features of thoracic long narrow, pelvic deformity and limb deformity. Conclusion Awareness of the clinical manifestations and imaging manifestations of ATD in children with early recurrent respiratory tract infection, early imaging examination to confirm the diagnosis and avoid misdiagnosis.