当支气管镜检查不足以取出气道异物时：一系列需要气管切开术的病例
When bronchoscopy does not suffice for airway foreign body removal: a series of cases requiring tracheotomy.
作者信息
Samdhani Sunil, Lohar Nand Kishor, Singh Amreen, Gupta Anjali
机构信息
Department of Otorhinolaryngology and Head Neck Surgery, S.M.S Medical College and Hospital, Jaipur, Rajasthan, 302004, India.
, 115, Shashtri colony, Opposite AS Senior Secondary School, Talwara Road, Mukerian, Punjab, 144211, India.
出版信息
Eur Arch Otorhinolaryngol. 2023 Jan;280(1):455-459. doi: 10.1007/s00405-022-07626-x. Epub 2022 Aug 27.
PURPOSE
To illustrate the importance of tracheotomy in difficult cases of foreign body inhalation and to enumerate the indications of the same.
METHODS
A retrospective analysis of 5 cases in which the standard rigid bronchoscopic approach had to be combined with the open surgical approach (tracheotomy) for the removal of the inhaled foreign body for different indications.
RESULTS
Combining the two procedures lead to successful removal of foreign body and restoration of airway in all the cases. Tracheostomies whenever performed were temporary.
CONCLUSIONS
Foreign body aspiration is an otorhinolaryngologic emergency that can rapidly prove fatal if not well-handled. Though most cases can be dealt with by traditional approaches, a proportion of the cases may prove challenging and need a quick tailoring of response according to the situation at hand. An approach combining tracheotomy with the traditional bronchoscopic approach is one such way and in well-selected cases, can have a significant impact on the outcome; sometimes even in terms of life and death.
目的
阐述气管切开术在异物吸入困难病例中的重要性，并列举其适应证。
方法
回顾性分析5例因不同适应证而必须将标准硬质支气管镜检查方法与开放手术方法（气管切开术）相结合以取出吸入异物的病例。
结果
两种方法相结合使得所有病例中的异物均成功取出且气道得以恢复。所施行的气管切开术均为临时性的。
结论
异物吸入是一种耳鼻喉科急症，若处理不当可迅速致命。尽管大多数病例可通过传统方法处理，但部分病例可能具有挑战性，需要根据实际情况迅速调整应对措施。将气管切开术与传统支气管镜检查方法相结合就是这样一种方法，在精心挑选的病例中，可对治疗结果产生重大影响；有时甚至关乎生死。
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