用灵活的支气管镜进行围巾针吸入的内镜管理
Srishankar Bairy1, Carishma S2, Narayan V Kamath3
1Respiratory Medicine, Father Muller Medical College, Mangaluru, Karnataka, India srishankarabairy2012@gmail.com.
BMJ case reports
|August 13, 2025
概括
一个年轻女孩不小心吸入了一根围巾针,这最初是内镜错过的. 灵活的支气管镜成功地去除了异物,强调了对此类病例的成像和临床怀疑的重要性.
科学领域:
- 儿科肺病学 儿科肺病学
- 医学案例报告 病例报告
- 诊断成像 诊断成像 诊断成像
背景情况:
- 异物吸收是青春期早期的一个重大风险.
- 在日常活动中,可能会意外吸入小物体,如围巾钉.
- 延迟诊断外体吸收可能会导致并发症.
研究的目的:
- 报告一个错过的食道外体呈现为支气管外体的情况.
- 突出诊断挑战和神秘外体渴望的有效管理.
- 为了强调灵活支气管镜在异物清除中的实用性.
主要方法:
- 最初的诊断工作包括上部胃肠道内镜和胸部X射线.
- 胸部的计算机断层扫描 (CT) 扫描证实了异物体的位置.
- 在全身麻醉下进行灵活支气管镜检查,以提取异物体.
主要成果:
- 一个围巾针被放置在左侧主要支气管中,最初的内镜错过了.
- 电图扫描准确地定位了气道中的异物.
- 通过使用放射性下内镜器,成功地提取了异物.
结论:
- 临床怀疑和适当的成像对于诊断神秘外体吸收至关重要.
- 灵活支气管镜检查是一种安全有效的方法,可用于清除支气管外体.
- 专门的内镜工具可以重新用于成功的异物检索.
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