반복적인 천음과 호흡곤란을 보인 영아에서 진단된 선천성 심, 폐기형 3례
Congenital Cardiopulmonary Anomalies in Infants with Recurrent Stridor and/or Respiratory Distress : Report of 3 Cases
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초록
천음은 상기도 폐쇄를 시사하는 것으로, 영아기 비감염성 천음의 가장 흔한 원인은 후두연화증이며 이는 증상이 경미하고 대부분 특별한 치료 없이 호전된다. 그러나 천음이 출생 직후부터 나타나거나 지속적이며 호흡곤란이 동반되는 경우에는 심, 폐기형 등 상기도 협착을 일으킬 수 있는 다른 질환의 동반 가능성을 고려하여야 한다. 이러한 심혈관계, 호흡기계의 기형이 있는 경우 천음, 호흡곤란 등의 증상이 호전되지 않고 심한 호흡곤란과 인공호흡기 이탈장애, 사망에까지 이를 수 있어 조기 진단과 치료에 대한 적극적인 노력이 필요하다.
Abstract
Although laryngomalacia is the most common cause of congenital stridor in infancy, it is a benign, self-limited disease which usually resolves by the age of 18 months with no long- term sequelae. Nevertheless, infants who suffered from recurrent stridor and respiratory distress should be evaluated for other causes of stridor such as cardiopulmonary anomalies. We report 3 cases of infants who had recurrent stridor and respiratory distress from their early infancy. Case 1 had a double aortic arch and a tracheomalacia, case 2 had a hypoplasia of the right lung, and case 3 had a horseshoe lung as well as scimitar syndrome. Physicians should be alert for the possibility of the congenital cardiopulmonary abnormalities in infants with recurrent stridor and/or respiratory distress.
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