Dudley J P
Ann Otol Rhinol Laryngol. 1983 Jul-Aug;92(4 Pt 1):396-7. doi: 10.1177/000348948309200421.
Because pneumothorax may impair ventilation, it should be included in the differential diagnosis whenever ventilating problems are encountered during intraoperative procedures. Since pneumothorax is not an expected complication following atraumatic removal of tracheobronchial foreign bodies, it may not be considered if ventilation problems arise. When a foreign body has one or more sharp spines, however, consideration should be given to the possibility that the spine may have perforated the airway wall and that a pneumothorax may ensue following removal. Removal of a fruit of a puncture vine (Tribulus terrestris) from the junction of the carina and right main stem bronchus was followed by increased resistance to ventilation due to bilateral pneumothorax. Insertion of chest tubes bilaterally returned respirations to normal. Bronchoscopists should be aware of this possible complication of spine-covered foreign bodies.
由于气胸可能会影响通气，因此在术中遇到通气问题时，应将其纳入鉴别诊断。由于在无创取出气管支气管异物后气胸并非预期的并发症，所以当出现通气问题时可能不会考虑到这一点。然而，当异物有一个或多个尖锐刺时，应考虑刺可能已穿透气道壁且取出后可能会发生气胸的可能性。从隆突与右主支气管交界处取出刺蒺藜果实后，由于双侧气胸导致通气阻力增加。双侧插入胸管后呼吸恢复正常。支气管镜检查医生应意识到这种有刺异物可能出现的并发症。
