成年人气道外体提取的导航挑战:灵活支气管镜检查的回顾性见解
Ram N Jalandra1, Kunal Deokar2, Nishant Kumar Chauhan3
1Department of Pulmonary Medicine, All India Institute of Medical Sciences, Bathinda, Bathinda, IND.
Cureus
|January 22, 2025
概括
灵活的支气管显微镜有效地提取成人的气道异物,有机物质是最常见的. 这一程序是诊断和管理这一人口群的异物志向的一个关键干预措施.
科学领域:
- 肺部病理学 肺部病理学
- 医疗程序 医疗程序
- 紧急医疗 紧急医疗
背景情况:
- 气道外体吸入是一种严重的紧急情况,主要影响儿童和老年人,但也发生在成年人身上,症状各异.
- 硬支气管镜和柔性支气管镜都是已建立的外体去除方法.
研究的目的:
- 报告成人患者灵活支气管镜检查外体提取的经验和结果.
- 分析成年人呼吸道外体吸收的发生率,特征和管理.
主要方法:
- 从2018年1月到2019年8月进行了一项回顾性研究.
- 收集的数据包括总支气管镜检查,异物可视化率,位置,检索技术和并发症.
- 分析的重点是成年患者怀疑异物吸收的病例.
主要成果:
- 在510次支气管镜检查中,7.6%是涉嫌异物吸入,在2.1%的病例中检测到异物.
- 患者的平均年龄为44.27岁,主要是男性 (63.6%).
- 有机物质 (91%) 是最常见的异物体;灵活的支气管镜在72.7%的病例中取得了成功的提取,并出现了并发症.
结论:
- 成年人气道外体吸收需要高度的临床怀疑,以便及时诊断和管理.
- 灵活的支气管镜是成年人异物提取的有效主要工具.
- 多种提取工具的联合使用通常是成功去除的必要条件.
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