Analysis of the diagnosis and treatment of 10 cases of complex respiratory foreign bodies in children
Objective:To explore the diagnosis and treatment experience of complex respiratory foreign bodies in children.Methods:The clinical data of 1 243 cases of respiratory foreign bodies in children were retrospectively analyzed,among which 10 cases(0.8％)were complicated respiratory foreign bodies.Results:Among the 10 ca-ses of complex respiratory foreign bodies,2 cases were removed by open thoracotomy,1 case was removed by tracheotomy,1 case was removed by lobectomy,1 case was removed by fiberoptic bronchoscopy because of diffi-cult airway caused by the accompanying congenital pulmonary artery sling,and the pulmonary artery sling correc-tion was synchronized with the fiberoptic bronchoscopic removal,3 cases were removed by fiberoptic bronchoscop-ic holmium laser and/or freezing method to make the foreign body deformed and fragmented and then taken out by the sound gate,and 2 cases were removed because of the In 3 cases,the foreign bodies were deformed and frag-mented by fiberoptic bronchoscopy,and in 2 cases,the foreign bodies were removed through the vocal folds be-cause of their special characteristics.Two cases were intubated and sent to ICU after surgery because of obvious vocal edema and difficulty in deoxygenation,two cases were transferred to ICU after cardiac or thoracic surgery,and the rest of them returned to ordinary wards after surgery,and all 10 cases recovered well after surgery.Con-clusion:Respiratory foreign body combined with airway stenosis,when the foreign body type,shape,embedded location of special foreign body,foreign body is too large,need to rationally choose the method of foreign body re-moval.If necessary,a combination of methods can be used to ensure that the airway obstruction is quickly relieved with the best program.
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