Merkenschlager A, Nicolai T, Joppich I, Mantel K, Sanktjohanser L
Pädiatrischen Klinik, Ludwig-Maximilians-Universität, München.
Kinderarztl Prax. 1993 May;61(3):97-103.
Four cases of tracheobronchial foreign body aspirations are described that necessitated surgical interventions. Bronchial rupture occurred in three cases and in one case the foreign body had to be removed via thoracotomy after endoscopic extraction had failed. The possible complications in case of a chronic tracheobronchial foreign body due to delayed diagnosis are pointed out. The purpose of this contribution is to provide the general practitioner with guidelines to suspect the presence of a foreign body well in time and to refer the patient quickly to a competent hospital for immediate treatment.
本文描述了4例需要手术干预的气管支气管异物吸入病例。3例发生支气管破裂,1例在内镜取出失败后需通过开胸手术取出异物。文中指出了慢性气管支气管异物因诊断延迟可能出现的并发症。本文的目的是为全科医生提供指导方针,以便及时怀疑异物存在,并迅速将患者转诊至有能力的医院进行立即治疗。