심한 천명과 호흡곤란이 동반된 반복적인 하기도염으로 내원한 왼쪽 주기관지 협착 1례
Recurrent Lower Respiratory Tract Infections in a Girl with Left Main Bronchial Stenosis
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호흡기계의 선천성 기형은 비교적 드문 질환이나, 심한 천명음 청색증 등과 같은 호흡곤란 증상이 반복되는 경우 의심할 수 있다. 주기관지 협착의 증상은 다양하여 무증상인 경우도 있지만 호흡기 감염이 동반되는 경우 특히 천명음, 청색증, 호흡곤란 등의 호흡기 증상이 심하게 나타날 수 있다. 어린 소아에서 하기도염에 동반된 심한 천명음, 호흡곤란 등의 증상이 반복되는 경우 드물지만 호흡기계의 선천성 기형을 원인으로 고려해 보아야 한다.
Abstract
Congenital bronchial stenosis is a rare condition with variable symptoms of presentation. Affected patients are usually asymptomatic, but because of the reduced airway, cough, cyanosis and respiratory distress may be presented. We report a 19 month-old girl with a recurrent history of severe wheezing, dyspnea and cyanosis accompanied by lower respiratory tract infections. Young children with severe respiratory symptoms and no immunological abnormalities must be suspected of airway structural abnormalities.
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