直接喉镜联合纤维支气管镜下支气管异物取出术1例  

A case report of a bronchial foreign body removal by direct laryngoscopy with fiber bronchoscope

作　　者：孙乐[1] 房宁[1] 张岩[1] 祝威[1] 

机构地区：[1]吉林大学第一医院耳鼻咽喉科,长春130000

出　　处：《临床耳鼻咽喉头颈外科杂志》2015年第23期2089-2090,共2页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：患儿,女,11岁。因误呛钢珠4h急诊入院。家长诉患儿4h前玩耍时误呛金属钢珠,而后出现憋气,伴有口唇紫绀,剧烈咳嗽后症状略有缓解,立即就诊我院。入院后查体：患儿一般状态欠佳,右侧卧位,听诊双肺可闻及干啰音,右肺呼吸音较左肺呼吸音明显减弱,经皮血氧饱和度为83%-88%。辅助检查：X线胸片示右主支气管近第5胸椎水平见圆形致密影,直径约10 mm,纵隔略右移（图1）。An 11 year old girl presented with dyspnea and a rough cough,after having mistakenly swallowed a steel ball and unable to relieve the symptoms.Chest X-ray showed an image consistent with a 10 mm diameter circular object,embedded in the right mainstem bronchi near the fifth thoracic level and the medicastinal moving to the right.A clinical diagnosis based on these findings：foreign body of the right bronchial.

关 键 词：支气管 异物 喉镜 

分 类 号：R768.1[医药卫生—耳鼻咽喉科]