Mehta Bhavesh S, Gupta Arvind J, Selarka Lavkumar B
"Shanti" Behind Diggamber Jain Temple, Near Motor House, Park Colony, Jamnagar, 361008 Gujarat India.
Indian J Otolaryngol Head Neck Surg. 2007 Jun;59(2):124-6. doi: 10.1007/s12070-007-0037-y. Epub 2007 Sep 14.
Rigid Bronchoscopy is carried out for the diagnosis and removal of the foreign body. The post operative period may have complications like laryngobronchial spasm, laryngeal oedema, in turn may require tracheostomy and later on may lead to cardiac arrest and respiratory arrest. These post operative complications can be drastically reduced by the use of nebulization with the combination of steroids, Bronchodilators and lignocaine. Combination with lignocaine nebulization reduces rates of morbidity and mortality effectively then nebulizing only steroid and bronchodilators. Lignocaine reduces the irritative cough, reactive secretion and also hence bronchospasm and also vomiting.
硬支气管镜检查用于诊断和取出异物。术后可能会出现诸如喉支气管痉挛、喉水肿等并发症，进而可能需要进行气管切开术，随后可能导致心脏骤停和呼吸骤停。通过使用类固醇、支气管扩张剂和利多卡因联合雾化，可以大幅降低这些术后并发症。与仅雾化类固醇和支气管扩张剂相比，利多卡因联合雾化能有效降低发病率和死亡率。利多卡因可减轻刺激性咳嗽、反应性分泌物，从而缓解支气管痉挛和呕吐。
