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气管内误吸皮下注射针头取出术的麻醉管理:一例报告

Anaesthestic Management of Removal of Aspirated Hypodermic Needle in Trachea: A Case Report.

作者信息

Thomas Jubil, Heaney Áine, Bhakta Pradipta, Crowe Suzanne

机构信息

Department of Anaesthesia and Intensive Care, Our Lady of Lourdes Hospital, Drogheda, Ireland.

Department of Cardiac Anaesthesia, Royal Brompton Hospital, Sydney, London, UK.

出版信息

J Maxillofac Oral Surg. 2016 Sep;15(3):413-415. doi: 10.1007/s12663-015-0815-0. Epub 2015 Jul 2.

Abstract

Aspiration of foreign body is a very common emergency in paediatric age group. It is very rare in adult population. Moreover common foreign body in adults are food materials. Aspiration of hypodermic needle is very rarely reported. But this can happen accidentally during use of hypodermic needle for dental block. We hereby report such a case of aspiration of hypodermic needle accidentally aspirated during performing a dental block. Aspiration of sharp foreign body and its bronscopic removal can lead to injury to airway. We report successful management of such a case where needle was removed under general anaesthesia successfully using rigid bronchoscope.

摘要

异物吸入在儿童年龄组中是一种非常常见的急症。在成人中则非常罕见。此外,成人常见的异物是食物。皮下注射针的吸入很少有报道。但在使用皮下注射针进行牙科阻滞时可能会意外发生这种情况。我们在此报告一例在进行牙科阻滞时意外吸入皮下注射针的病例。尖锐异物的吸入及其经支气管镜取出可能会导致气道损伤。我们报告了这样一例成功的病例管理,即在全身麻醉下使用硬质支气管镜成功取出了针头。

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