儿童特殊类型的支气管异物1例  

Complicated airway foreign body in a child:a case report

作　　者：石秋兰[1] 李琦[1] 沈小飞 

机构地区：[1]南京医科大学附属儿童医院耳鼻咽喉科,南京210008

出　　处：《临床耳鼻咽喉头颈外科杂志》2018年第16期1276-1277,共2页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：1病例报告患儿,男,9岁,因＂咳喘半月余,发热4d＂于2016年5月到我院门诊就诊。胸部CT三维成像显示右侧支气管针状金属异物,右上肺炎伴不张（图1）,遂收住入院进一步治疗,患儿及家长均否认有异物吸入史。查体：T 38.9℃,神志清楚,精神可,口唇不绀,吸凹征（-）,右上肺呼吸音明显降低,右肺可闻及较多湿啰音。A 9 year-old boy suffering from cough for half a month,fever for 4 days was hospitalized.CT three-dimensional reconstruction showed that a metallic needle-like foreign body within the right main bronchial with pneumonia and atelectasis.In the next day,the boy took examination using an open-tube rigid bronchoscope under general anesthesia.For the first time,the foreign body was jammed in glottis with SpO_2 and HR declining.For the second time,the operator found the foreign was not a needle but a thumbtack.Finally,the thumbtack was removed from the airway after short-term paralysis using succinylcholine.

关 键 词：成像 三维 支气管镜 儿童 异物 

分 类 号：R768.1[医药卫生—耳鼻咽喉科]