摘要
目的探讨肺段支气管异物的发病原因、临床表现和治疗方法。方法发生于肺段的支气管异物一般较小且病史较长,临床症状隐匿或表现为肺部反复感染、肺不张和咳血等,对8例肺段支气管异物患者实施气管镜检查,辅助应用气管内镜,观察异物的形态、位置及与气管壁的关系,并取异物;其中2例利用X线透视机对金属异物进行定位。结果8例肺段支气管异物中6例一次成功取出,术后无气胸、纵膈气肿等并发症。2例失败,1例异物是大头针,病史1年;另1例异物是小笔帽,病史24年;转胸科实施开胸手术顺利取出。结论对于异物较小、临床症状复杂的肺段支气管异物,要做详细的术前检查,术中要选择应用适宜的异物钳、气管内镜等,必要时在X线透视机下操作,并注意防止气胸等并发症的发生。
Objective To review the clinical features and the treatment of segmental bronchi foreign bodies cases. Methods Rigid hronchoscope and endoscope were applied to all 8 cases under general anesthesia. The foreign bodies shape and position were well evaluated under direct view, and the metal ones were located with X ray. Results Generally, the foreign bodies in segmental bronchi are small size and have a long history, the symptoms are non typical and may be accompanied with recurrent lung infection and haemoptysis. The foreign bodies were successfully removed in 6 patients with bronchoscopy, and the foreign bodies in other 2 cases were removed with thoracotomy. No complications occurred in all cases. Condusions For the segmental bronchi foreign body cases, the non typical history should be well reviewed and a detailed investigation should be performed. Suitable surgical instruments should be well selected so to get higher success rate and effectively prevent potential compilations.
出处
《中华耳鼻咽喉头颈外科杂志》
CAS
CSCD
北大核心
2006年第4期255-257,共3页
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
