Pirozyński M, Załeska J, Polubiec-Kownacka M
Samodzielna Pracownia Bronchologii Instytutu Gruźlicy i Chorób Pluc, Warszawa.
Pneumonol Alergol Pol. 1994;62(5-6):254-9.
One of the initial indications for therapeutic bronchoscopy was removal of an aspirated foreign body. The aim of this study was to evaluate the role of bronchofiberoscopy in removal of aspirated foreign bodies. Thirty patients were included in the study (age range 4-81 years). Endoscopy was performed under local anesthesia in two sessions. During the first a complete evaluation of the tracheobronchial tree was carried out, while during the second the actual removal was performed. In the majority of the patients (23) the foreign body was aspirated into the right lung. In the majority of the patients (13) various fragments of bones were recovered. Only in one patient a major complication was observed (hemorrhage) which compelled to change from bronchofiberoscopy to rigid endoscopy. All complaints from patients subsided during 2-4 days after removal of the foreign body. Foreign bodies were removed using a bronchofiberoscope in 21 out of the 28 patients. In two patients a calcified lymph node could not be removed during bronchoscopy and the patients were referred to the Surgical Department for thoracotomy.
治疗性支气管镜检查的最初适应证之一是取出误吸的异物。本研究的目的是评估纤维支气管镜在取出误吸异物中的作用。30例患者纳入本研究（年龄范围4 - 81岁）。在内镜检查分两个阶段在局部麻醉下进行。在第一阶段对气管支气管树进行全面评估，而在第二阶段进行实际取出操作。大多数患者（23例）异物误吸入右肺。大多数患者（13例）取出了各种骨碎片。仅1例患者观察到严重并发症（出血），这迫使从纤维支气管镜检查改为硬质内镜检查。异物取出后2 - 4天内患者的所有不适症状均消失。28例患者中有21例使用纤维支气管镜取出了异物。2例患者在支气管镜检查期间无法取出钙化淋巴结，患者被转诊至外科进行开胸手术。
