Wang Lina, Zhang Li, Li Deli, Li Chunyan, Wang Yan, Gao Man, Liang Hang, Meng Fanzheng
Pediatric Department of Respiration II, The First Hospital of Jilin University, Changchun, China.
Medicine (Baltimore). 2018 Sep;97(37):e12147. doi: 10.1097/MD.0000000000012147.
Bronchial foreign body aspiration is a critical condition that jeopardizes the respiratory function of children. Prompt diagnosis and removal of the foreign body can reduce occurrence of foreign body complications and mortality. Aspiration of spherical plastic beads is rare, and the bead is difficult to retrieve.
An 8-year-old girl developed cough, transient throat wheezing, and intermittent cough after she accidentally inhaled a plastic bead 7 hours ago. Chest computed tomography scan revealed a round shadow 1.2 cm in diameter in the right main bronchus.
Foreign body in the right main bronchus.
Retrieval by balloon-tipped catheter via flexible bronchoscopy was undertaken.
The bead was successfully retrieved and the child recovered uneventfully.
Foreign body aspiration in children constitutes a medical emergency in severe cases. Flexible bronchoscopy and balloon-tipped catheter retrieval can be used as an effective noninvasive treatment for aspiration of plastic beads.
支气管异物吸入是一种危及儿童呼吸功能的危急情况。及时诊断并取出异物可减少异物并发症的发生及死亡率。吸入球形塑料珠的情况较为罕见，且珠子难以取出。
一名8岁女孩在7小时前意外吸入一颗塑料珠后出现咳嗽、短暂的喉部喘息及间歇性咳嗽。胸部计算机断层扫描显示右主支气管内有一个直径1.2厘米的圆形阴影。
右主支气管异物。
通过可弯曲支气管镜用带气囊导管进行取出。
珠子成功取出，患儿顺利康复。
儿童异物吸入在严重情况下属于医疗急症。可弯曲支气管镜及带气囊导管取出术可作为吸入塑料珠的一种有效的非侵入性治疗方法。
