《小儿气道》课件.ppt
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- 小儿气道 小儿 课件
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1、 The nose originates in the cranial ectoderm Composed of the external nose and the nasal cavity Into the nasopharynx via the choanae or posterior nasal aperturesCharacteristic Soft and distensible,with relatively more mucosa and lymphoid tissue than in the adult Deviationof the nasal septum occurs i
2、n all ages of children easily obstructed by secretions,edema or blood ethmoidal,maxillary,frontal and sphenoid sinuses airway obstruction caused by copious and tenacious secretions Cellulitis,edema or abscess formation may also occur.In free communication with the nasal cavity,the mouth and the lary
3、nx Nasopharynx、oropharynx、laryngopharynxThe nasopharynx of an infant photographedwith the 120 retrograde telescope.The nasopharynx of a 5-year-old with mildcongestion of the posterior end of the septum and the turbinates.Retropharyngeal abscess:a,abscess bulge;d,laryngoscope blade;b,uvula;c,tongue;e
4、,tonsilthe piriform fossa The glottic and supraglottic structures in a 6-month-old infant.Laryngeal papillomatosisRecurrent respiratory papillomatosis(RRP)The presence of mucosal edema at this site will severely compromise the airway Sleep studiesEndoscopyImagingInvestigationsExaminationHistory Fron
5、tal chest radiograph in a 10-month-old infant.Normal expiratory tracheal buckling to the right(arrow)is demonstrated.Note the prominent right thymic sail sign,also a normal variant.expiration(a)inspiration(b)Two-year old with acute wheezing after eating peanutsinspiratory radiograph(a)expiratory rad
6、iograph(b)Lateral(a)Frontal(b)A double aortic arch vascular ringSagittal ultrasonographymagnetic resonance imagingGoiterCoronal(a)Sagittal(b)Fetal MRI T2 weightedRight bony choanal atresia.The axial computerized tomography CT and PETCT images a 12-yearold boy with Hodgkins lymphoma hypermetabolic pa
7、latine tonsils Tracheal agenesis with bilateral esophageal bronchi CT coronal minimum intensity projection imageconfirms an esophageal ETT Tracheomalaciaan 11-month male with noisy breathing demonstrates innominateartery compressing the trachea at the thoracic inletTracheomalacia resulting from exte
8、rnal vascular compression Double aortic arch with tracheal narrowingCT angiography with a volume rendered 3D imagecoronal MPR(Multi-Planar Reformatted)image Bronchial foreign bodyFragments of peanuts were removed from the bronchus endoscopically Mediastinal lymphoma Lateral neck radiograph of a youn
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