先天性心脏病合并气道异常的诊治进展

摘要

先天性心脏病与气道异常存在相关性,某些特殊类型的心血管畸形,如血管环伴气道异常的发病率较高.先天性心脏病合并气道异常临床易被忽略,反复喘鸣、呼吸衰竭、插管困难或术后撤机困难的先天性心脏病患儿,应考虑合并气道异常可能.多排螺旋CT、纤维支气管镜检查对早期诊断、指导治疗起重要作用.治疗方案的选择取决于气道异常的类型,气道病变的部位及程度.%Congenital heart disease and airway anomalies are correlated,and some special cardiovascular anomalies accompanying with airway anomalies like vascular tings,have a high morbidity.Congenital heart disease with airway anomalies is usually ignored in clinic.It should be considered that congenital heart disease with airway anomalies exists in children with the symptoms,such as repeated stridor,respiratory failure,difficult intubation or failure of postoperative ventilator weaning.Multidetector helical CT and bronchoscopy are important for making early diagnosis and guiding management for congenital heart disease with airway anomalies.The choice of therapeutic approaches depends on the type of airway anomalies,location and degree of the lesion.