Abakumov M M, Mironov A V, Kreĭmer V D
Vestn Khir Im I I Grek. 1998;157(1):70-3.
The article presents results of examination and treatment of patients with foreign bodies in the tracheobronchial tree. It was noted that clinical manifestations were not leading in diagnosis of aspirated foreign bodies. The X-ray diagnosis is also not sufficiently effective, especially in cases with organic foreign bodies. Fiber bronchoscopy was used in 45 patients for diagnosis and removal of foreign bodies from the tracheobronchial tree. Practical recommendations are given on the method of removal of the foreign bodies depending on the shape, size and kind of the foreign body. The authors consider that the main criterion for fulfilling diagnostic fiber bronchoscopy in cases of suspected foreign body is information from the patient of probable aspiration of a foreign body. High efficiency of both diagnostic and curative fiber bronchoscopy for foreign bodies in the tracheobronchial tree is noted.
本文介绍了气管支气管树异物患者的检查和治疗结果。值得注意的是，临床表现并非吸入性异物诊断的主要依据。X线诊断也不够有效，尤其是对于有机异物的情况。45例患者采用纤维支气管镜诊断并清除气管支气管树中的异物。根据异物的形状、大小和种类，给出了关于清除异物方法的实用建议。作者认为，在疑似异物病例中进行诊断性纤维支气管镜检查的主要标准是患者提供可能吸入异物的信息。文中指出纤维支气管镜对气管支气管树异物的诊断和治疗均具有较高的效率。
