围巾针吸入：临床特征与外科治疗
Scarf pin inhalation: clinical characteristics and surgical treatment.
作者信息
Fenane Hicham, Bouchikh Mohammed, Bouti Khalid, El Maidi Mehdi, Ouchen Fahd, Mbola Tchely-Oaly, Damessane Lamboni, Achir Abdellah, Benosman Abdellatif
机构信息
Department of Thoracic Surgery, Ibn Sina University Hospital, BP 353, Rabat Principale, 10001, Morocco.
Unit of pedagogy and research in Thoracic Surgery, Faculty of Medicine and Pharmacy, University Mohamed V, Rabat, Morocco.
出版信息
J Cardiothorac Surg. 2015 Apr 26;10:61. doi: 10.1186/s13019-015-0268-z.
OBJECTIVE
Scarf pin inhalation is becoming a frequent accident among young Moroccan woman who wears islamic veil. The aim of the study is to highlight indications, principles and challenges of surgical removal of that particular foreign body.
METHODS
Twenty-eight patients were hospitalized in Thoracic Surgery department of Ibn Sina Hospital at Rabat between January 2008 and June 2013 for surgical removal of a pin scarf after unsuccessful endoscopy.
RESULTS
Mean age was 20 years. Inhalation was accidental in all cases. Average interval between inhalation and surgery was 10 days. Penetration syndrome was found in 82% of patients. Pin was located at the left tracheo-bronchial tree in 53.5% of cases and at the right one in 46.4%. All were operated by thoracotomy. Surgery was conservative in all cases, and postoperative course was uneventful.
CONCLUSION
In case of failure endoscopic treatment, surgery remains the only alternative. It must be as conservative as possible. Short interval between inhalation accident and surgery prevents parenchymal resection.
目的
围巾别针吸入在佩戴伊斯兰面纱的年轻摩洛哥女性中成为一种常见事故。本研究的目的是强调手术取出该特殊异物的适应症、原则和挑战。
方法
2008年1月至2013年6月期间，28例患者因内镜检查失败后接受手术取出别针围巾而入住拉巴特伊本·西那医院胸外科。
结果
平均年龄为20岁。所有病例吸入均为意外。吸入与手术之间的平均间隔为10天。82%的患者出现穿透综合征。53.5%的病例别针位于左气管支气管树，46.4%位于右气管支气管树。所有患者均通过开胸手术治疗。所有病例手术均采取保守方式，术后病程平稳。
结论
在内镜治疗失败的情况下，手术仍然是唯一的选择。手术必须尽可能保守。吸入事故与手术之间的间隔时间短可避免肺实质切除。
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