经过支气管检查干预失败后,从气道中提取异物体的手术 - - 一个十年的经验
Haroon Shakir1, Gopal Karunanithy Jaikaran1, Ezhil Nambi Sundaramoorthy2
1Institute of Child Health and Hospital for Children, Madras Medical College, Chennai, Tamil Nadu India.
Indian journal of thoracic and cardiovascular surgery
|February 20, 2025
概括
支气管切除术是一种安全有效的手术替代方案,用于在支气管镜检查失败时进行儿科异物吸收. 这种手术提供了一种安全的选择,可以去除无法恢复的物体,减少患者的发病率.
科学领域:
- 儿科手术 儿科手术
- 胸部外科手术 胸部外科手术
- 紧急医疗 紧急医疗
背景情况:
- 外体吸入是儿童的危及生命的紧急情况,导致严重的呼吸困扰.
- 迅速的专家干预至关重要,以尽量减少并发症,并改善儿科患者的治疗结果.
- 刚性支气管镜检查是去除异物的主要方法,但对于复杂的病例需要替代方法.
研究的目的:
- 评估支气管切除术作为小儿外体吸收的二次干预措施的安全性和有效性.
- 在初始支气管镜检索尝试失败时评估支气管切除术的作用.
主要方法:
- 对21例儿科病例进行了支气管切除或切除术后支气管镜检查失败的回顾性审查 (2013年6月 - 2022年3月).
- 所有手术都采用了后侧侧胸切除术方法.
- 在所有病例中都进行了手术前的刚性支气管镜检查.
主要成果:
- 支气管切除术在85% (18/21) 的病例中进行,年龄在1至12岁之间.
- 大多数志向者影响左肺,晚期呈现者往往表现出血.
- 获取的物品包括诸如笔盖和金属球等常见物品.
结论:
- 刚性支气管镜仍然是诊断和治疗儿科异物吸收的黄金标准.
- 支气管切除术是支气管镜检查失败时无法检索的异物的一种安全有效的替代方案.
- 切除用于留存的异物,导致显著的支气管内膜阻塞和静止.
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