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支气管内的断安全别针——麻醉注意事项。

Broken safety pin in bronchus - Anaesthetic considerations.

作者信息

Shad Roona, Agarwal Aditya

机构信息

Department of Anaesthesiology, Gandhi Medical College and Associated Hospitals, Bhopal, Madhya Pradesh, India.

出版信息

Indian J Anaesth. 2012 Nov;56(6):570-1. doi: 10.4103/0019-5049.104579.

DOI:10.4103/0019-5049.104579
PMID:23325944
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3546246/
Abstract

Safety pins are not commonly aspirated objects in infants and form only a small fraction of all the metallic foreign body (FB) which accounts for 4.4% of all foreign bodies found in tracheobronchial tree. Bronchoscopy procedure has various complications, in addition to failure to remove FB due to its impaction, especially with metallic pointed objects ending up in open surgical removal. Infant with inhaled foreign body are always a challenge to anaesthetist. We had one such case of broken safety pin impacted in the wall of right bronchus of an infant with failure to remove on repeated attempts at rigid bronchoscopy.

摘要

安全别针在婴儿中并非常见的误吸物体,仅占所有金属异物的一小部分,而金属异物在气管支气管树中发现的所有异物中占4.4%。支气管镜检查操作有各种并发症,除了因异物嵌顿而未能取出外,尤其是金属尖锐物体最终需要进行开放性手术取出。吸入异物的婴儿对麻醉师来说始终是一项挑战。我们就有这样一个病例,一枚折断的安全别针嵌顿在一名婴儿右支气管壁上,多次尝试硬支气管镜检查均未能取出。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63f8/3546246/309c93692686/IJA-56-570-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63f8/3546246/309c93692686/IJA-56-570-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63f8/3546246/309c93692686/IJA-56-570-g001.jpg

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本文引用的文献

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Foreign body aspirations in infancy: a 20-year experience.婴儿期异物吸入:20年经验总结
Int J Med Sci. 2009 Oct 14;6(6):322-8. doi: 10.7150/ijms.6.322.
2
The risk factors for hypoxemia in children younger than 5 years old undergoing rigid bronchoscopy for foreign body removal.5岁以下儿童在接受硬质支气管镜异物取出术时发生低氧血症的危险因素。
Anesth Analg. 2009 Oct;109(4):1079-84. doi: 10.1213/ane.0b013e3181b12cb5.
3
Foreign bodies in the airway: a quarter of a century's experience.气道异物:25年的经验
Rev Port Pneumol. 2008 Nov-Dec;14(6):787-802.
4
Turban pin aspiration: non-asphyxiating tracheobronchial foreign body in young islamic women.头巾针吸入:年轻穆斯林女性非窒息性气管支气管异物
Thorac Cardiovasc Surg. 2006 Jun;54(4):273-5. doi: 10.1055/s-2006-923954.
5
Foreign body aspiration in children.儿童异物吸入
Pediatr Int. 2005 Dec;47(6):663-8. doi: 10.1111/j.1442-200x.2005.02136.x.
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One lung ventilation in infants and children: experience with Marraro double lumen tube.婴幼儿单肺通气:使用马腊罗双腔管的经验
Paediatr Anaesth. 2005 Mar;15(3):204-8. doi: 10.1111/j.1460-9592.2005.01421.x.
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Foreign body aspiration: what is the outcome?异物吸入:结果如何?
Pediatr Pulmonol. 2002 Jul;34(1):30-6. doi: 10.1002/ppul.10094.