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采用头低脚高位经可弯曲支气管镜取出支气管内异物。

Endobronchial foreign body removed by flexible bronchoscopy using the Trendelenburg position.

作者信息

Huang Pei-Ming, Kao Ming-Wei

机构信息

Department of Surgery, National Taiwan University Hospital, and National Taiwan University College of Medicine, Taiwan, Republic of China.

出版信息

Thorac Cardiovasc Surg. 2012 Dec;60(8):545-7. doi: 10.1055/s-0031-1293598. Epub 2011 Dec 29.

Abstract

Foreign body (FB) aspiration causes various symptoms and sometimes leads to severe conditions. Therefore, its prompt diagnosis and removal are essential to avoid complications. Flexible bronchoscopy is both a safe and effective method to confirm suspected cases of FB aspiration and to facilitate FB removal. However, few articles have dealt with the proper techniques for removal of FB in younger versus older patients based on anatomical variation. We report FB aspiration in an old male patient in whom attempted removal with flexible bronchoscopy failed but was later achieved by repeated flexible bronchoscopy with the patient in the Trendelenburg position.

摘要

异物吸入会引发多种症状,有时还会导致严重情况。因此,及时诊断并取出异物对于避免并发症至关重要。可弯曲支气管镜检查是确认疑似异物吸入病例并便于取出异物的一种安全有效的方法。然而,基于解剖学差异,很少有文章探讨在年轻患者与老年患者中取出异物的恰当技术。我们报告了一例老年男性患者的异物吸入情况,最初试图通过可弯曲支气管镜取出异物未成功,但后来在患者处于头低脚高位时通过重复进行可弯曲支气管镜检查成功取出了异物。

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