Tan S S, Dhara S S, Sim C K
Department of Anaesthesia and Intensive Care, Singapore General Hospital.
Anaesthesia. 1991 Sep;46(9):741-3. doi: 10.1111/j.1365-2044.1991.tb09769.x.
Aspiration of a foreign body into the respiratory tract is a common and serious accident in childhood. Laryngotracheal foreign bodies, although less common than bronchial foreign bodies, are potentially more dangerous. Removal is commonly achieved using a rigid ventilating bronchoscope. We report a 16-month-old boy who had an open safety pin impacted in his larynx. This was removed through a tracheostomy, using high frequency jet ventilation to maintain gaseous exchange. We believe that this is the first case in which this method of removal has been reported.
异物吸入呼吸道是儿童期常见且严重的意外事件。喉气管异物虽然比支气管异物少见，但潜在危险性更大。通常使用硬质通气支气管镜进行取出。我们报告一例16个月大的男孩，一枚打开的安全别针嵌顿在其喉部。通过气管切开术取出异物，同时使用高频喷射通气维持气体交换。我们认为这是首次报道使用这种取出方法的病例。
