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、肺不张和肺气肿等,对3例肺段支气管异物患者实施电视监控带鼻内镜检查,辅助应用气管内镜、纤维支气管镜,观察异物的形态、位置、大小及与气管壁的关系,并取异物。结果 3例肺段支气管异物全部一次成功取出,其中2例行气管切开术,术后无气胸、纵隔气肿等并发症。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、纤维支气管镜等,必要时辅助气管切开以缩短手术路径,并注意防止气胸等并发症的发生。
Objective To review the cause,clinical features and the treatment of segmental bronchi foreign bodies cases.Methods 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,atelectasis and emphysema,video-monitoring assisted nasendoscopy were applied to all 3 cases under general anesthesia with assist of rigid bronchoscope and endoscope.The foreign bodies′ shape,position and size were well evaluated under direct view,and then be removed.Results The foreign bodies were successfully removed in 3 patients with bronchoscopy,and 2 cases were removed with thoracotomy without complications such as Pneumothorax and Mediastinal emphysema.Conclusion 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,i.e,foreign body forceps,bronchoscopy and fibrobronchoscopy,should be well selected to get higher success rate and effectively prevent potential compilations.
出处
《实用心脑肺血管病杂志》
2011年第3期467-468,共2页
Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
关键词
支气管
异物
电视监控
鼻内镜检查
Bronchi
Foreign bodies
Video monitoring
Bronchoscopy
