Philip Jenny, Bresnihan Mary, Chambers Neil
Department of Anaesthesia and Department of Ear, Nose and Throat, Princess Margaret Children's Hospital, Perth, WA, Australia.
Paediatr Anaesth. 2004 Dec;14(12):1016-20. doi: 10.1111/j.1460-9592.2004.01510.x.
A 2 year-old boy presented with acute upper airway obstruction following a 15-month history of noisy breathing and hoarseness. An urgent laryngotracheal bronchoscopy was performed following inhalational induction of anesthesia. Using a fiberoptic bronchoscope, visualization of the larynx through a laryngeal mask airway revealed a flat plastic Christmas tree embedded within granulomatous cords causing almost complete obstruction and requiring tracheostomy prior to extraction. Twelve days later, the tracheostomy was successfully decannulated with the child's voice beginning to normalize. The family remembered the decoration from Christmas celebrations 2 years prior and recalled a coughing episode that predated the onset of hoarseness.
一名2岁男孩，在出现15个月的呼吸嘈杂和声音嘶哑病史后，出现急性上呼吸道梗阻。在吸入麻醉诱导后进行了紧急喉气管支气管镜检查。使用纤维支气管镜，通过喉罩气道观察喉部，发现一个扁平的塑料圣诞树嵌入肉芽肿条索内，几乎造成完全梗阻，在取出前需要进行气管切开术。12天后，气管切开术成功拔管，孩子的声音开始恢复正常。家人回忆起两年前圣诞节庆祝活动中的装饰品，并回忆起一次咳嗽发作，早于声音嘶哑的发作。
