Jamshed Nayer, Madan Karan, Ekka Meera, Guleria Randeep
Department of Emergency Medicine, All India Institute of Medical Sciences, New Delhi, India.
BMJ Case Rep. 2014 Mar 20;2014:bcr2013202371. doi: 10.1136/bcr-2013-202371.
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.
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。
