重视可弯曲支气管镜技术在气道异物中的应用  

Clinical application of flexible bronchoscopy in the treatment of airway foreign body

作　　者：钟长镐[1] 李红佳 李时悦[1] Zhong Changhao;Li Hongjia;Li Shiyue(Department of Respiratory and Critical Care Medicine,the First Affiliated Hospital of Guangzhou Medical University,National Center for Respiratory Medicine,National Clinical Research Center for Respiratory Disease,State Key Laboratory of Respiratory Disease,Guangzhou Institute of Respiratory Health,Guangzhou 510120,China)

机构地区：[1]广州医科大学附属第一医院呼吸与危重症医学科、国家呼吸医学中心、国家呼吸系统疾病临床医学研究中心、呼吸疾病国家重点实验室、广州呼吸健康研究院,广州510120

出　　处：《中华结核和呼吸杂志》2023年第5期530-533,共4页Chinese Journal of Tuberculosis and Respiratory Diseases

基　　金：国家重点研发计划(2022YFC2405200)。

摘　　要：气道异物是指由于不慎导致异物吸入喉、气管或支气管内导致气道堵塞,引起剧烈咳嗽、喘鸣、呼吸困难、甚至窒息死亡,是呼吸与危重症医学科、急诊科、耳鼻咽喉科、儿科等临床科室常见的急危重症之一。随着可弯曲支气管镜技术的推广,经呼吸内镜异物取出治疗已经在成人及儿童中广泛应用,通过联合不同的器械如鳄齿钳、网篮、球囊、冷冻探针等可安全、高效移除异物,本文将简述气道异物的治疗方式,总结归纳经可弯曲支气管镜治疗气道异物的有效途径。Airway foreign body is the unintentional entry of objects into the larynx,trachea,or bronchi,causing airway obstruction,severe coughing,wheezing,breathing difficulties,or even asphyxiation.It is a common emergency condition in respiratory,critical care,emergency,otolaryngology,and pediatric departments,etc.With the popularization of flexible bronchoscopic techniques,endoscopic foreign body removal has been widely used in adults and children.The combined application of various instruments,such as alligator forceps,mesh baskets,balloons,and cryoprobes could safely and effectively remove foreign body.This article briefly described the treatment modalities for airway foreign body and summarized effective approaches using flexible bronchoscopy in its treatment.

关 键 词：气道异物 耳鼻咽喉科 剧烈咳嗽 支气管内 临床科室 气道堵塞 异物吸入 急诊科 

分 类 号：R768.13[医药卫生—耳鼻咽喉科]