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在多发创伤患者中,使用纤维支气管镜并同时进行气管切开术取出吸入的牙齿:2 例报告。

Removal of aspirated teeth in a multiple trauma patient, using fiberoptic bronchoscopy with simultaneous tracheostomy: review of 2 cases.

机构信息

Department of Oral and Maxillofacial Surgery, Yonsei University College of Dentistry, Seoul, Korea.

出版信息

Respir Care. 2014 Jan;59(1):e1-4. doi: 10.4187/respcare.02468. Epub 2013 Jun 13.

Abstract

Aspiration of a tooth in facial trauma is a known complication. There have been few reports on the consequences of maxillofacial trauma, especially when the patient is intubated. We report 2 complicated cases of multiple teeth aspiration and their removal in intubated patients. A special technique using flexible bronchoscopy with simultaneous tracheotomy was used for safe and successful removal of aspirated teeth. We suggest that simultaneous tracheostomy is a safe and effective method for removal of a bronchial foreign body in a maxillofacial traumatized patient.

摘要

在面部创伤中,牙齿吸入是一种已知的并发症。虽然有一些关于颌面外伤后果的报告,但涉及到气管插管患者的报告却很少。我们报告了 2 例复杂的气管插管患者多发牙齿吸入及取出的病例。使用纤维支气管镜联合同时行气管切开术的特殊技术,安全、成功地取出了吸入的牙齿。我们建议,对于颌面外伤患者,同期行气管切开术是一种安全有效的方法,用于取出支气管异物。

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