Department of Anesthesiology, Meizhou People's Hospital, Meizhou City, 514031, Guangdong Province, China.
Department of Thoracic Surgery, Meizhou People's Hospital, Meizhou City, 514031, Guangdong Province, China.
BMC Pulm Med. 2023 Jan 18;23(1):24. doi: 10.1186/s12890-023-02321-x.
A tracheal foreign body is a common airway aspiration that creates an emergency, which often causes unobserved respiratory problems and requires management. Iatrogenic tracheal foreign bodies are rarely observed, which results in tracheal obstruction. If the foreign body were removed from the tracheobronchial system, it would save lives. A similar case of a tracheal foreign body was focused on, which was caused by medical glue used during preoperative computed tomography localization of pulmonary nodules.
The foreign body was deposited in the right upper bronchi, accidentally discovered after anesthesia when a double-lumen tube was located by fiber bronchoscopy. Following a video-assisted thoracoscopic surgery, the foreign body was removed using a respiratory endoscopy without subsequent adverse consequences for the patient.
There is a risk of complications from iatrogenic airway foreign bodies for preoperative localization of pulmonary nodules by injecting cyanoacrylate glue.
气管异物是一种常见的气道吸入物,会引发紧急情况,常常导致未被观察到的呼吸问题,需要进行处理。医源性气管异物很少见,但会导致气管阻塞。如果能将异物从气管支气管系统中取出,就可以挽救生命。本文重点关注了一例由术前肺结节 CT 定位时使用的医用胶引起的气管异物。
异物沉积在右上支气管,在纤维支气管镜定位双腔管时,麻醉后意外发现。随后通过电视辅助胸腔镜手术,使用呼吸内镜取出异物,患者未出现后续不良后果。
在术前对肺结节进行 CT 定位时注射氰基丙烯酸酯胶存在气道异物并发症的风险。