Suppr超能文献

成功通过可弯曲支气管镜处理大型吸入性局部义齿。

Successful flexible bronchoscopic management of a large-sized aspirated partial denture.

作者信息

Jamshed Nayer, Madan Karan, Ekka Meera, Guleria Randeep

机构信息

Department of Emergency Medicine, All India Institute of Medical Sciences, New Delhi, India.

出版信息

BMJ Case Rep. 2014 Mar 20;2014:bcr2013202371. doi: 10.1136/bcr-2013-202371.

Abstract

A 48-year-old male patient presented to the emergency room with a history of chest pain and breathlessness. Chest X-ray demonstrated a large radio-opaque foreign body in relation to the proximal right bronchial tree. The patient subsequently revealed a history of a misplaced denture 4 months previously. Urgent flexible bronchoscopy (FB) examination demonstrated a large partial denture impacted in the right intermediate bronchus, which was removed successfully using a flexible bronchoscope. Although rigid bronchoscopy (RB) is the procedure of choice for large-sized and impacted airway foreign bodies, the present case highlights the utility of FB in airway foreign body removal. In clinically stable patients with foreign body inhalation, FB can be employed initially as it is an outpatient and cost-effective procedure which can obviate the need for administration of general anaesthesia.

摘要

一名48岁男性患者因胸痛和呼吸急促病史就诊于急诊室。胸部X线显示右主支气管树近端有一个大的不透射线异物。患者随后透露4个月前有假牙误吞史。紧急纤维支气管镜(FB)检查显示一个大的部分假牙嵌顿在右中间支气管,使用纤维支气管镜成功取出。虽然硬质支气管镜(RB)是处理大尺寸和嵌顿气道异物的首选方法,但本病例凸显了FB在气道异物取出中的作用。对于临床上稳定的异物吸入患者,FB可作为初始方法,因为它是一种门诊手术且成本效益高,可避免全身麻醉的需要。

相似文献

6
Fracture and aspiration of a tracheostomy tube.气管造口管骨折与误吸
BMJ Case Rep. 2014 Feb 19;2014:bcr2013203232. doi: 10.1136/bcr-2013-203232.
7
Management of Foreign Body Removal in Children by Flexible Bronchoscopy.儿童异物取出术的纤维支气管镜管理
J Bronchology Interv Pulmonol. 2017 Jan;24(1):21-28. doi: 10.1097/LBR.0000000000000319.
10
Patency Capsule Aspiration.通畅性胶囊抽吸术
Intern Med. 2020 Apr 15;59(8):1071-1073. doi: 10.2169/internalmedicine.4012-19. Epub 2020 Jan 9.

本文引用的文献

2
Acute respiratory failure following traumatic tooth aspiration.外伤性牙齿误吸后急性呼吸衰竭
BMJ Case Rep. 2013 Feb 6;2013:bcr2012008393. doi: 10.1136/bcr-2012-008393.
5
Bronchoscopic management of a rare benign endobronchial tumor.罕见良性支气管内肿瘤的支气管镜管理
Rev Port Pneumol. 2012 Sep-Oct;18(5):251-4. doi: 10.1016/j.rppneu.2012.02.003. Epub 2012 Mar 30.
6
Tracheobronchial foreign body aspiration in adults.成人气管支气管异物吸入
South Med J. 2009 Feb;102(2):171-4. doi: 10.1097/SMJ.0b013e318193c9c8.
9
Tracheobronchial foreign bodies in adults.成人气管支气管异物
Ann Intern Med. 1990 Apr 15;112(8):604-9. doi: 10.7326/0003-4819-112-8-604.

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验