Chiari 畸形( I 型)：大龄儿童慢性咳嗽的非常见病因
2013/06/25
摘要
为强调慢性咳嗽的非常见病因，笔者介绍了两例慢性咳嗽病例，该两例患儿为就诊于小儿耳鼻咽喉科门诊的大龄儿童，尽管其前期已进行了全面的检查和治疗，但仍伴有持续慢性咳嗽的症状。每个病例均被确诊为颅内神经病变。磁共振成像显示其为Chiari 畸形(I 型)患儿。减压手术后两例患儿的症状均有改善。慢性咳嗽是Chiari 畸形(I 型)患儿罕见的症状表现，笔者强调认识儿童咳嗽非常见病因的意义在于有助于正确的鉴别诊断和治疗。
(林江涛 审校)
Laryngoscope. 2013 Apr 1. doi: 10.1002/lary.24086. [Epub ahead of print]
Chiari type I malformation: Presenting as chronic cough in older children.
Chambers KJ, Setlur J, Hartnick CJ.
Abstract
To highlight an unusual cause of chronic cough, we present two cases of chronic cough in older children referred to a pediatric otolaryngology outpatient clinic with persistent symptoms despite extensive previous workup and treatment. Cranial neuropathy was identified in each case. As a result, magnetic resonance imaging was performed revealing Chiari type I malformation. In each case, surgical decompression provided symptom improvement. Chronic cough is a rare presenting symptom in children with Chiari type I malformation. We emphasize the significance of awareness for unusual cases of cough to aid in the correct identification and treatment in children.
Laryngoscope. 2013 Apr 1. doi: 10.1002/lary.24086. [Epub ahead of print]
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利多卡因喷雾和套囊内注入碱化利多卡因对气管拔管后咳嗽的影响：一项随机双盲对照试验
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