Clinical of tracheal bronchus in 20 children

Objective To investigate the clinical features in 20 patients diagnosed with tracheal bronchus by bronchoscope.Methods Clinical manifestation,diagnosis and treatment of the 20 patients receiving diagnostic bronchoscope procedures and diagnosed of tracheal bronchus were retrospectively analyzed.All procedures were performed under general intravenous anesthesia.Results Totally 20 patients were identified as having tracheal bronchus,among whom 19 patients were right tracheal bronchus,18 patients were shift type and 6 patients had more than two types of tracheo bronchial anomalies.Difficult-to-control wheeze,localized persistent pneumonia,atelectasis,localized hyperinflation were the most common symptoms in the patients with tracheal bronchus.The symptoms in most of the patients were relieved through the symptomatic treatment.Conclusions Tracheal bronchus is not unusual in pediatric patients,and its clinical features were difficult-to-control wheeze,localized persistent pneumonia,atelectasis,localized hyperinflation.The bronchoscopy should be performed early in the suspected patients for definite diagnosis.