吸入多个笔盖,导致支气管异物:在年龄较大的儿童中,这是一个罕见的病例
Jia Zhai1, Yongsheng Guo1, Chunlei Chen1
1Department of Pulmonology, Tianjin Children's Hospital (Children's Hospital of Tianjin University), Machang compus, 225 Machang Road, Hexi District, Tianjin, 300074, China.
BMC pediatrics
|January 17, 2025
概括
儿童吸入异物是罕见的,特别是多个物体,如两个笔盖. 早期诊断和通过支气管镜进行切除对于康复至关重要.
科学领域:
- 儿科肺病学 儿科肺病学
- 紧急医疗 紧急医疗
- 医学案例报告 病例报告
背景情况:
- 在老年儿童中,异物吸收不常见,往往导致诊断和治疗延迟.
- 多重外体非常罕见,这给诊断带来了挑战.
- 这个案例突出了一个罕见的例子,一个孩子吸入了两个笔盖.
研究的目的:
- 报告一个罕见的多个异物吸收在一个年长的孩子的案例.
- 强调临床警和彻底的病史的重要性.
- 强调在支气管外体病例中需要及时识别和干预.
主要方法:
- 一个12岁的男孩出现了两个月的持续咳和异常呼吸声音的病史.
- 胸部X射线,CT扫描和支气管检查证实了两个笔盖入右支气管.
- 通过柔性和刚性支气管镜术与冷治疗的结合,成功地去除了异物.
主要成果:
- 成功地从右支气管中提取了两个笔盖.
- 咳的解决和改善肺透气后的程序.
- 患者的体温在治疗后恢复正常.
结论:
- 临床医生必须保持对老年儿童支气管外体的高度怀疑,即使是异常呈现.
- 应该考虑多个外体的可能性,需要详细的病史.
- 及时诊断和内镜切除对于异物吸收的良好结果至关重要.
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