[Analysis of the diagnosis and treatment of 10 cases of complex respiratory foreign bodies in children].
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi
; 38(2): 155-159, 2024 Feb.
Article
in Zh
| MEDLINE
| ID: mdl-38297871
ABSTRACT
Objective:
To explore the diagnosis and treatment experience of complex respiratory foreign bodies in children.Methods:
The clinical data of 1 243 cases of respiratory foreign bodies in children were retrospectively analyzed, among which 10 casesï¼0.8%ï¼ were complicated respiratory foreign bodies.Results:
Among the 10 cases of complex respiratory foreign bodies, 2 cases were removed by open thoracotomy, 1 case was removed by tracheotomy, 1 case was removed by lobectomy, 1 case was removed by fiberoptic bronchoscopy because of difficult airway caused by the accompanying congenital pulmonary artery sling, and the pulmonary artery sling correction was synchronized with the fiberoptic bronchoscopic removal, 3 cases were removed by fiberoptic bronchoscopic holmium laser and/or freezing method to make the foreign body deformed and fragmented and then taken out by the sound gate, and 2 cases were removed because of the In 3 cases, the foreign bodies were deformed and fragmented by fiberoptic bronchoscopy, and in 2 cases, the foreign bodies were removed through the vocal folds because of their special characteristics. Two cases were intubated and sent to ICU after surgery because of obvious vocal edema and difficulty in deoxygenation, two cases were transferred to ICU after cardiac or thoracic surgery, and the rest of them returned to ordinary wards after surgery, and all 10 cases recovered well after surgery.Conclusion:
Respiratory foreign body combined with airway stenosis, when the foreign body type, shape, embedded location of special foreign body, foreign body is too large, need to rationally choose the method of foreign body removal. If necessary, a combination of methods can be used to ensure that the airway obstruction is quickly relieved with the best program.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Bronchi
/
Foreign Bodies
Type of study:
Diagnostic_studies
/
Observational_studies
Limits:
Child
/
Humans
/
Infant
Language:
Zh
Journal:
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi
Year:
2024
Document type:
Article
Country of publication:
China