Department of Respiratory Medicine, The Sixth Affiliated Hospital, South China University of Technology (The People's Hospital of Nanhai), Foshan City, Guangdong Province 528222, China.
Southern Medical University, Guangzhou City, Guangdong Province 510515, China.
J Int Med Res. 2022 Mar;50(3):3000605221086146. doi: 10.1177/03000605221086146.
A 26-year-old man who had inhaled a dried pepper 7 years previously was admitted to our hospital for repeated coughing with yellow sputum and occasional hemoptysis. A thoracic high-resolution computed tomography scan revealed a foreign body at the proximal end of the right lower bronchus. We attempted to remove the foreign body by flexible bronchoscopy, but this was unsuccessful because the foreign body fell deeper into the bronchus. After a multidisciplinary team meeting, the foreign body was successfully extracted by bronchoscope suction and forceps under conscious sedation with spontaneous respiration. We avoided rigid bronchoscopy and traumatic surgery, thus decreasing the patient's risk and cost. We herein share our successful experience with this case.
一位 26 岁男性，7 年前吸入过一个干辣椒，因反复咳嗽、咳黄痰，偶有咯血，来我院就诊。胸部高分辨率 CT 扫描显示右下叶支气管近端有异物。我们尝试经纤维支气管镜取出异物，但因异物坠入支气管深部而未能成功。经多学科团队讨论，在自主呼吸下清醒镇静后，我们经支气管镜吸引和活检钳成功取出异物。我们避免了硬质支气管镜和有创手术，降低了患者的风险和费用。我们在此分享该病例的成功经验。
