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罕见气管异常中的异物吸入:一例报告

Foreign body aspiration in a rare tracheal anomaly: A case report.

作者信息

Alghamdi Bassam, ALHumaid Salwa ALRashed, Aljuhani Talal, AlSaab Fahad

机构信息

Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, King Abdulaziz Medical City and King Abdullah Specialist Children's Hospital, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia.

Department of Pediatric Anesthesia, King Abdullah Specialist Children's Hospital, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia.

出版信息

Int J Surg Case Rep. 2020;68:203-207. doi: 10.1016/j.ijscr.2020.02.024. Epub 2020 Feb 15.

Abstract

INTRODUCTION

Tracheal bronchus is a rare anomaly in which an accessory bronchial branch originates superior to the tracheal bifurcation. It is usually incidentally found in patients with recurrent chest infection, persistent stridor and less commonly due to foreign body aspiration.

PRESENTATION OF CASE

A 6-year-old medically and surgically free boy presented to the Emergency Department with severe shortness of breath. The patient was initially saturating well, but then suddenly worsened and was rushed for intubation. The patient was taken to the operating room for direct laryngobronchoscopy to retrieve the foreign body obstructing the airway. The foreign body was successfully retrieved, and the presence of a tracheal bronchus was confirmed.

DISCUSSION

The presence of tracheal bronchus has its implications on airway management.

CONCLUSION

Knowledge about tracheal bronchus is of great importance to the otolaryngologist and anesthetist to maintain the airway.

摘要

引言

气管支气管是一种罕见的异常情况,其中一个副支气管分支起源于气管分叉上方。它通常在反复发生胸部感染、持续性喘鸣的患者中偶然发现,较少情况下是由于异物吸入。

病例介绍

一名6岁、无内科和外科疾病史的男孩因严重呼吸急促被送往急诊科。患者最初血氧饱和度良好,但随后突然恶化,被紧急送去插管。患者被送往手术室进行直接喉镜支气管镜检查以取出阻塞气道的异物。异物被成功取出,并证实存在气管支气管。

讨论

气管支气管的存在对气道管理有影响。

结论

对于耳鼻喉科医生和麻醉师来说,了解气管支气管对于维持气道至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f79a/7078452/b07fcc14296b/gr1.jpg

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