淀粉样变较少累及呼吸道,气管支气管淀粉样变较罕见,同时累及喉、气管及支气管的淀粉样变更为罕见.本文介绍1例喉、气管支气管淀粉样变的病例,该患者存在原发性喉淀粉样变,15年后同时出现气管支气管淀粉样变.由于疾病罕见且临床表现不具特异性,导致患者曾被误诊为上呼吸道感染、支气管哮喘.患者经支气管镜镜下钳夹、氩气刀治疗后,症状明显缓解,目前病情较稳定,但仍需追踪远期预后.%Amyloidosis is less involved in the respiratory tract. The tracheobronchial amyloidosis is rare, and the amyloid changes involved in the larynx, trachea and bronchus are more rare. The study introduces a case of the primary laryngeal and tracheobronchial amyloidosis. The patient was diagnosed as primary laryngeal amyloidosis, and had tracheobronchial amyloidosis after 15 years. Due to the rare and non-specific clinical manifestations of the disease, the patient was misdiagnosed as upper respiratory tract infection and bronchial asthma.After the treatment of the clamp of the bronchoscope and argon knife,the symptoms were significantly relieved in the patient.At present,the disease is stable and has not relapsed,but it still needs to track the long-term prognosis.
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