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在紧急情况下，气管插管取代纤维支气管镜用于从气道中取出异物：一例病例报告

In emergency situations, tracheal intubation replaces fiberoptic bronchoscopy to extract foreign bodies from the airway, a case report.

作者信息

Wang Yingying, Zhu Liqun, Yong Hairong, Lv Xiaohong, Qian Binbin, Wang Zihan

机构信息

Department of Emergency Intensive Care Unit, The First Affiliated Hospital of Wannan Medical College (Yijishan Hospital of Wannan Medical College), 2 Zheshan West Road, Wuhu, Anhui 241001, P.R. China.

Nursing Department, Affiliated Hospital of Jiangsu University, 438 Jiefang Road, Zhenjiang, Jiangsu, 212001, PR China.

出版信息

Respir Med Case Rep. 2024 May 25;50:102045. doi: 10.1016/j.rmcr.2024.102045. eCollection 2024.

DOI:10.1016/j.rmcr.2024.102045
PMID:38868162
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11167382/
Abstract

INTRODUCTION

Foreign bodies in the airways can cause significant morbidity and mortality. If emergency personnel are unable to clear an airway obstruction frequently results in cardiac arrest.

PATIENT CONCERNS

A 78-year-old man developed a persistent cough and dyspnoea after consuming alcohol. Fiberoptic bronchoscopy was performed, revealing complete blockage of the main airways on both sides by fish.

DIAGNOSIS

Endotracheal foreign body.

INTERVENTIONS

The foreign body was removed with an endotracheal tube under the guidance of a fiberoptic bronchoscope.

OUTCOMES

The airway foreign body had been successfully removed and the man recovered uneventfully.

CONCLUSION

When repeated attempts to extract airway foreign bodies under the guidance of bronchoscopy have failed, endotracheal intubation can be considered as a viable alternative in emergency situations.

摘要

引言

气道异物可导致严重的发病和死亡。如果急救人员无法清除气道阻塞，常导致心脏骤停。

患者情况

一名78岁男性在饮酒后出现持续咳嗽和呼吸困难。进行了纤维支气管镜检查，发现双侧主气道被鱼完全阻塞。

诊断

气管内异物。

干预措施

在纤维支气管镜引导下用气管导管取出异物。

结果

气道异物已成功取出，该男子顺利康复。

结论

当在支气管镜引导下反复尝试取出气道异物失败时，在紧急情况下可考虑气管插管作为一种可行的替代方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7c0/11167382/398302d5de8a/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7c0/11167382/4f620c4ebd9b/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7c0/11167382/7ae4c66177f2/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7c0/11167382/398302d5de8a/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7c0/11167382/4f620c4ebd9b/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7c0/11167382/7ae4c66177f2/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7c0/11167382/398302d5de8a/gr3.jpg

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本文引用的文献

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Medicine (Baltimore). 2022 Dec 2;101(48):e31903. doi: 10.1097/MD.0000000000031903.
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Case of impacted subglottic metallic foreign body removal without tracheostomy through an endotracheal tube.经气管内导管无需气管切开取出声门下金属异物病例。
Clin Case Rep. 2022 May 4;10(5):e05770. doi: 10.1002/ccr3.5770. eCollection 2022 May.
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Emergency Department Vacuum Extraction of an Obstructing Tracheal Foreign Body Using a Meconium Aspirator and Modified Endotracheal Tube.
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