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(病例见本刊2013年第11期彩页)主要诊断:气管性支气管。诊断依据:(1)临床表现为反复的咳嗽喘息;(2)按哮喘常规治疗没有明显好转,时轻时重,感染时喘息加重;(3)肺CT+三维可见右肺上叶支气管发自气管,支气管镜检查镜下可见:主支气管接近支气管隆突处可见异常支气管开口。患儿影像学资料见图1。
(See the magazine cases 2013 No. 11 color pages) The main diagnosis: tracheal bronchi. Diagnosis is based on: (1) the clinical manifestations of recurrent cough and wheezing; (2) routine treatment of asthma no significant improvement, when light weight, wheezing when the infection aggravated; (3) lung CT + three-dimensional visible right upper lobe bronchus from the trachea Bronchoscopic examination of the microscope can be seen: the main bronchus bronchial anastomosis can be seen near the bronchial opening. Imaging data in children shown in Figure 1.