Elsharkawy Hesham, Abd-Elsayed Alaa A, Karroum Rami
Institute of Anesthesia, Critical Care and Comprehensive Pain Management, Cleveland Clinic, Cleveland, OH.
Department of Anesthesiology, University of Wisconsin School of Medicine and Public Health, Madison, WI.
Ochsner J. 2015 Spring;15(1):110-3.
Foreign body aspiration (FBA) is a potentially life-threatening condition in children, and removal of an aspirated bead can be difficult.
An 11-month-old male infant presented with a history of choking 6 days prior to admission. FBA was suspected, and initial examination revealed a bead occluding the left main bronchus. The surgeon tried to retrieve the foreign body, but the patient developed coughing episodes with desaturation. The patient was intubated and a bronchoscopy was performed with a flexible bronchoscope. A Fogarty catheter was passed through the bronchoscope and then advanced through the bead opening. The distal balloon was inflated, and the bead was removed as the Fogarty catheter was withdrawn.
We successfully removed an aspirated bead from an infant using the passing-through technique with a Fogarty catheter. Maintaining spontaneous ventilation for as long as possible and good coordination between the anesthesiologist and surgeon are crucial in such cases.
异物吸入（FBA）在儿童中是一种潜在的危及生命的情况，取出吸入的珠子可能很困难。
一名11个月大的男婴在入院前6天有窒息史。怀疑有异物吸入，初步检查发现一颗珠子阻塞了左主支气管。外科医生试图取出异物，但患者出现咳嗽发作并伴有血氧饱和度下降。对患者进行了气管插管，并使用柔性支气管镜进行了支气管镜检查。一根Fogarty导管通过支气管镜插入，然后穿过珠子开口推进。将远端球囊充气，随着Fogarty导管拔出，珠子被取出。
我们使用Fogarty导管通过技术成功地从一名婴儿体内取出了吸入的珠子。在这种情况下，尽可能长时间地维持自主通气以及麻醉医生和外科医生之间的良好配合至关重要。
