Shad Roona, Agarwal Aditya
Department of Anaesthesiology, Gandhi Medical College and Associated Hospitals, Bhopal, Madhya Pradesh, India.
Indian J Anaesth. 2012 Nov;56(6):570-1. doi: 10.4103/0019-5049.104579.
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.
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。