Gomez-Acevedo Hector H
American Association of Neurologic Surgeons, National Institute of Neurology and Neurosurgery, Mexico City, Mexico.
Pediatr Emerg Care. 2010 Jan;26(1):39-40. doi: 10.1097/PEC.0b013e3181c399cc.
This is a case of a 12-month-old child who had an upper respiratory tract foreign body that was completely obstructing the airway. There was no intubation or cricothyroidotomy equipment available. Traditional methods of removal had failed. The child was kept in a prone position, and it was only by mouth-to-mouth and/or nose aspiration, spitting out the secretions, that complete blockade transformed into a partial one. A few minutes after keeping on using this maneuver to maintain an open airway, a soft, light plastic object was recovered. Foreign body removal can be a life-threatening emergency occurring where no trained medical personal or medical equipment is available. This is a simple method that a practitioner or a parent may be able to use as an option in extreme circumstances when traditional methods have failed.
这是一例12个月大的儿童病例，其呼吸道有异物完全阻塞气道。当时没有插管或环甲膜切开术设备。传统的取出方法已失败。患儿被置于俯卧位，仅通过口对口和/或鼻吸引、吐出分泌物，才使完全阻塞转变为部分阻塞。持续使用这种手法保持气道通畅几分钟后，取出了一个柔软、轻质的塑料物体。在没有训练有素的医护人员或医疗设备的情况下，取出异物可能是危及生命的紧急情况。这是一种简单的方法，在传统方法失败的极端情况下，从业者或家长可以将其作为一种选择。
