Shu Linhua, Hu Yijing, Wei Rong
1 Department of Respiration, Shanghai Children's Hospital, Shanghai Jiao Tong University , Shanghai, China .
2 Department of Anesthesiology, Shanghai Children's Hospital, Shanghai Jiao Tong University , Shanghai, China .
J Laparoendosc Adv Surg Tech A. 2016 Dec;26(12):1039-1040. doi: 10.1089/lap.2016.0388. Epub 2016 Oct 27.
Deep bronchial obstruction in children caused by foreign bodies is a medical emergency frequently accompanied by the formation of granulation tissue in the airway mucosa, which is resected during removal of the foreign body. Argon plasma coagulation (APC), initially developed to achieve hemostasis in gastrointestinal bleeding during endoscopic procedures, is also used for interventional bronchoscopic therapies of malignant airway tumors. In this pilot study, we describe successful alternative resections of granulation tissues during foreign body removal by flexible bronchoscopy through concomitant APC applications in 9 children aged from 16 months to 4 years old.
儿童因异物导致的深部支气管阻塞是一种医疗急症,常伴有气道黏膜肉芽组织形成,在取出异物时需将其切除。氩等离子体凝固术(APC)最初用于在内镜检查过程中实现胃肠道出血的止血,也用于恶性气道肿瘤的介入性支气管镜治疗。在这项前瞻性研究中,我们描述了在9名年龄从16个月至4岁的儿童通过软性支气管镜取出异物过程中,通过同时应用APC成功地替代切除肉芽组织的情况。