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经气管内导管无需气管切开取出声门下金属异物病例。

Case of impacted subglottic metallic foreign body removal without tracheostomy through an endotracheal tube.

作者信息

Kim Minju, Park Haechan, Kwon Seong Keun

机构信息

Department of Otorhinolaryngology - Head and Neck Surgery Seoul National University Hospital Seoul National University College of Medicine Seoul Korea.

出版信息

Clin Case Rep. 2022 May 4;10(5):e05770. doi: 10.1002/ccr3.5770. eCollection 2022 May.

DOI:10.1002/ccr3.5770
PMID:35521046
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9066741/
Abstract

A foreign body in the upper airway can cause serious morbidity and mortality, especially in pediatric patients. This case report describes an innovative way to remove an impacted foreign body distal to the vocal folds through an endotracheal tube without tracheostomy.

摘要

上气道异物可导致严重的发病和死亡，尤其是在儿科患者中。本病例报告描述了一种创新方法，即通过气管插管在不进行气管切开术的情况下取出声带远端嵌顿的异物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85e4/9066741/bba7f84e3b0d/CCR3-10-e05770-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85e4/9066741/8e3727fe7063/CCR3-10-e05770-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85e4/9066741/ae6554088312/CCR3-10-e05770-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85e4/9066741/41c3054ff53c/CCR3-10-e05770-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85e4/9066741/592fb5f96e02/CCR3-10-e05770-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85e4/9066741/bba7f84e3b0d/CCR3-10-e05770-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85e4/9066741/8e3727fe7063/CCR3-10-e05770-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85e4/9066741/ae6554088312/CCR3-10-e05770-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85e4/9066741/41c3054ff53c/CCR3-10-e05770-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85e4/9066741/592fb5f96e02/CCR3-10-e05770-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85e4/9066741/bba7f84e3b0d/CCR3-10-e05770-g006.jpg

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本文引用的文献

1
Airway foreign bodies in pediatric patients: anatomic location of foreign body affects complications and outcomes.小儿气道异物：异物的解剖位置影响并发症及预后。
Pediatr Surg Int. 2017 Jan;33(1):59-64. doi: 10.1007/s00383-016-3988-9. Epub 2016 Oct 13.
2
Role of tracheostomy in the management of foreign body airway obstruction in children.气管切开术在儿童异物气道梗阻处理中的作用
Singapore Med J. 2009 Sep;50(9):871-4.
3
Bronchoscopy and tracheotomy removal of bronchial foreign body.支气管镜及气管切开取出支气管异物。
J Pediatr Surg. 2002 Aug;37(8):1239-40. doi: 10.1053/jpsu.2002.34493.
4
Foreign body in the airway. A review of 200 cases.气道异物。200例病例回顾。
Am J Dis Child. 1980 Jan;134(1):68-71. doi: 10.1001/archpedi.1980.02130130050015.
5
The causes and complications of late diagnosis of foreign body aspiration in children. Report of 210 cases.儿童误吸异物延迟诊断的原因及并发症。210例报告。
Arch Otolaryngol Head Neck Surg. 1991 Aug;117(8):876-9. doi: 10.1001/archotol.1991.01870200070010.