查詢結果分析
來源資料
相關文獻
- Tracheobronchial Foreign Body Aspiration of Crab Leg Shell--An Unusual Type of Airway Obstruction
- Endobronchial Metastatic Disease
- Tracheal Neurilemmoma Mimicking Bronchial Asthma--A Dilemma of Difficult Diagnosis: Case Report
- 兒科軟式光纖支氣管鏡檢查
- Usefulness of Pediatric Flexible Bronchoscopy in the Early Diagnosis and Postoperation Evaluation of Vascular Rings: Report of Three Cases
- Endobronchial Metastasis of Glioblastoma Multiforme Diagnosed by Fiberoptic Bronchoscopic Biopsy
- Comparison of Bronchoscopic Biopsy and Thoracotomy Specimens for In Vivo Chemosensitivity Test of Lung Cancer
- 兒童硬式支氣管鏡檢查
- 兒科軟式光纖支氣管鏡檢查
- 兒童支氣管鏡:麻醉之考量
頁籤選單縮合
題 名 | Tracheobronchial Foreign Body Aspiration of Crab Leg Shell--An Unusual Type of Airway Obstruction=氣道阻塞卻未造成塌陷--異物嗆入氣管之病例報告 |
---|---|
作 者 | 鄭鴻志; 謝俊民; 柯獻欽; | 書刊名 | 胸腔醫學 |
卷 期 | 27:4 2012.08[民101.08] |
頁 次 | 頁240-247 |
分類號 | 415.4 |
關鍵詞 | 異物嗆入; 支氣管鏡; Foreign body aspiration; Bronchoscopy; |
語 文 | 英文(English) |
中文摘要 | 異物嗆入是小孩常見的急症,但亦可見於成人。異物嗆入較常發生在氣道保護機制受損的病人,也可能導因於醫療處置或外傷事件。異物嗆入須及早發現並儘速移除,以避免嚴重且可能危及生命的後遺症,異物在氣道內停留的時間愈久,愈可能發生後遺症。詳細詢問病史是正確診斷異物嗆入的不二法門,若是從病史中無法讓醫護人員考慮到異物嗆入的可能,則診斷可能延遲數天到數月。胸部X 光檢查對異物誤嗆的診斷不一定有幫助,病人的胸部X光影像可以是正常的,如果從病史中高度懷疑是異物嗆入,應立即安排支氣管鏡檢以診斷並設法移除氣道內異物。我們報告一例蟹腳殼嗆入卡住氣管下段與右主支氣管的病例,一開始蟹殼是卡在喉部,經耳鼻喉科醫師處置後,反而掉入氣管內。因蟹腳殼呈管狀,不會完全堵住氣道,所以病人的胸部X光片幾近正常,但因病史上高度懷疑,加上身體檢查、電腦斷層與肺功能檢查的佐證,最後以軟式支氣管鏡移除異物。臨床醫師對於有嗆到病史的病人,即使影像學檢查正常,亦應保持高度警覺,排除異物嗆入的可能。 |
英文摘要 | Foreign body aspiration (FBA) is a common medical emergency for children, although it also occurs in older age groups. In adults, FBA is most commonly caused by the failure of airway protective mechanisms. Otherwise, FBA in adults can be caused by an iatrogenic or traumatic event. FBA necessitates prompt recognition and early removal to avoid serious and sometimes fatal consequences. The longer a foreign body remains in the airway, the more complications that can develop. A careful inquiry into the patient's medical history is of utmost importance for an accurate diagnosis of FBA. Without a supporting history, the diagnosis of FBA is often delayed, from days to months. Chest radiography may be normal and is not always useful for diagnosis. If the history is highly suggestive of FBA, bronchoscopy should be performed for both diagnostic and therapeutic purposes. We present a case of FBA of a crab leg shell that obstructed the lower trachea and right main bronchus. Although the chest radiograph appeared normal, there was a strong history of FBA after failed laryngeal manipulation by an otorhinolaryngologist. The diagnosis was further verified by computed tomography and lung function tests. Ultimately, the foreign body was retrieved by flexible bronchoscopy. If the history is highly suggestive, clinicians should maintain a high index of suspicion for FBA, even with normal imaging studies. |
本系統中英文摘要資訊取自各篇刊載內容。