Swensson E E, Rah K H, Kim M C, Brooks J W, Salzberg A M
Ann Thorac Surg. 1985 Mar;39(3):251-3. doi: 10.1016/s0003-4975(10)62588-x.
Despite various technical manipulations through contemporary endoscopic equipment, large tracheal foreign bodies may be lost during bronchoscopic extraction, with a 1 to 2% in-hospital mortality. Recently, emergency tracheostomy was performed during bronchoscopy after a tracheal foreign body had become dislodged in the subglottic region causing blockage of the airway, and the results of this procedure provoked its deliberate application in a second patient. In 3 additional infants, aspirated tracheal T tubes (Montgomery tubes), which were producing acute respiratory distress, were brought from the carina to the performed tracheostoma under bronchoscopic manipulation and were withdrawn. Elective application of this simultaneous approach--tracheostomy with bronchoscopy--may decrease morbidity and mortality from large tracheal foreign bodies.
尽管通过当代内窥镜设备进行了各种技术操作，但在支气管镜取出过程中，大型气管异物仍可能丢失，住院死亡率为1%至2%。最近，在气管异物掉入声门下区域导致气道阻塞后，在支气管镜检查期间进行了紧急气管切开术，该手术的结果促使其在第二名患者中被有意应用。在另外3名婴儿中，通过支气管镜操作将引起急性呼吸窘迫的吸入性气管T形管（蒙哥马利管）从隆突移至已施行的气管造口处并取出。这种同时进行气管切开术和支气管镜检查的选择性方法可能会降低大型气管异物导致的发病率和死亡率。
