小儿硬质支气管镜下取异物后气胸：一例报告
Pneumothorax following rigid bronchoscopy for foreign body removal in a child: A case report.
作者信息
Tbini Makram, Hafyene Abdelmajid, Ben Ammar Chaima, El Bessi Salma, Ben Salah Mamia
机构信息
ENT Department, Charles Nicolle Hospital, Boulevard du 9-Avril 1938, 1006 Tunis, Tunisia; Faculty of Medicine of Tunis, University Tunis el Manar, Tunisia.
Department of Anesthesia and Critical Care, Charles Nicolle Hospital, Boulevard du 9-Avril 1938, 1006 Tunis, Tunisia; Faculty of Medicine of Tunis, University Tunis el Manar, Tunisia.
出版信息
Int J Surg Case Rep. 2024 Nov;124:110361. doi: 10.1016/j.ijscr.2024.110361. Epub 2024 Sep 30.
INTRODUCTION
Rigid bronchoscopy is an effective tool for the management of pediatric airway foreign bodies. However, it is not exempt from complications that can be fatal, such as pneumothorax.
CASE PRESENTATION
A 20-month-old child was admitted to our department after inhaling a foreign body (peanut). Immediately after removal of this foreign body, the child presented with a pre-arrest state with right auscultatory silence. Pneumothorax was suspected and aspirated, and cardiopulmonary resuscitation was performed. After 3 days in the intensive care unit (ICU), the child was discharged.
CLINICAL DISCUSSION
Inhalation of foreign bodies is frequent during the first 3 years of life. Its management relies on rigid bronchoscopy. However, this procedure is not devoid of risks, which can be fatal.
CONCLUSION
Our case illustrates a rare complication of rigid bronchoscopy in pediatric population and highlights the importance of prompt diagnosis and management.
引言
硬质支气管镜检查是处理小儿气道异物的有效工具。然而，它也难免会出现诸如气胸等可能致命的并发症。
病例介绍
一名20个月大的儿童在吸入异物（花生）后被收治入我院。取出该异物后，患儿立即出现濒死状态，右侧听诊无呼吸音。怀疑发生气胸并进行了抽气处理，同时实施了心肺复苏。在重症监护病房（ICU）治疗3天后，患儿出院。
临床讨论
在生命的前3年，异物吸入很常见。其处理依赖于硬质支气管镜检查。然而，该操作并非没有风险，这些风险可能是致命的。
结论
我们的病例说明了小儿群体中硬质支气管镜检查的一种罕见并发症，并强调了及时诊断和处理的重要性。
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