异物体从气管切除的儿童的外来体迁移从 subglottis 到支气管:一个案例报告
Ashok Aryal1, Leison Maharjan2, Deepak Yadav2
1Department of Otolaryngology and Head & Neck Sugery, United Mission Hospital, Palpa, Nepal.
JNMA; journal of the Nepal Medical Association
|March 5, 2026
概括
儿童的外体吸收是一个严重的紧急情况. 这个案例显示了一个骨芯片在支气管镜检查期间迁移,突出显示了需要仔细干预和气管切除术的必要性.
科学领域:
- 儿科急救医学 儿科急救医学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 肺部病理学 肺部病理学
背景情况:
- 异物吸收 (FB) 是一个关键的儿科紧急情况.
- 及时诊断和干预对于预防并发症至关重要.
研究的目的:
- 在小儿科患者的支气管镜检查期间报告一种罕见的异物迁移病例.
- 强调气道管理的重要性以及在异物吸收病例中进行量身定制的干预措施.
主要方法:
- 病例报告:一名3岁的女性患有持续咳和呼吸困难.
- 的初步诊断,随后进行成像检查,揭示了下外体.
- 气管切除术以稳定呼吸道,随后进行两次硬性支气管镜检查以切除FB.
主要成果:
- 异物,一个2.5*2厘米的骨片,在第一个支气管镜试验中,从小部区域迁移到左侧主要支气管.
- 迁移很可能是由于操纵和使用无手的气管切除管.
- 在第二次支气管镜检查中,使用望远镜安装的子成功地去除了异物.
结论:
- 干预期间的异物迁移是一种罕见但重要的并发症.
- 气管切除术在移除异物时保持呼吸道稳定性方面发挥着至关重要的作用.
- 对迁移风险的认识和采用量身定制的干预措施对于在儿科外体吸收中取得成功的结果至关重要.
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