Tanaka F, Yoshitani M, Esaki H, Isobe J, Inoue R, Ito M, Mori A, Shiraki T, Uemura H
Department of Surgery, Gifu National Hospital.
Kyobu Geka. 1990 Jun;43(6):471-4.
We experienced three cases of bronchial foreign bodies which required thoracotomy for the removal. In case 1 (51-year-old male), as the foreign body (a nail) was present at extremely peripheral bronchus (left B10b), the removal using bronchoscope was unsuccessfully tried and thoracotomy was performed. In case 2 (12-year-old male), as the foreign body (a lead) was lodged firmly in the bronchus (left B8) surrounded by a granulation tissue, the removal using bronchoscope failed and thoracotomy was performed. In case 3 (6-year-old female), during the removal of the foreign body (a pen-cap) tightly wedged in the left main bronchus using bronchoscope, the general condition was getting worse and emergency thoracotomy was performed. In each case, the foreign body was removed by bronchotomy without sacrifice of significant lung tissue.
我们遇到了3例支气管异物病例，均需开胸手术取出异物。病例1（51岁男性），异物（一枚钉子）位于极外周支气管（左B10b），尝试通过支气管镜取出失败后进行了开胸手术。病例2（12岁男性），异物（一根铅丝）牢固嵌顿于被肉芽组织包绕的支气管（左B8）内，支气管镜取出失败后进行了开胸手术。病例3（6岁女性），在使用支气管镜取出紧密楔入左主支气管的异物（一个笔帽）过程中，患者一般情况恶化，遂行急诊开胸手术。在每例病例中，均通过支气管切开术取出异物，未牺牲大量肺组织。
