特殊类型气管支气管异物的诊治

The diagnosis and therapy of particular tracheal bronchus foreign body

目的探讨特殊类型气管支气管异物的诊断及治疗方法。方法回顾性分析26例特殊类型气管支气管异物患者的临床资料。结果异物均成功取出，其中18例经支气管镜通过声门取出，4例经直达喉镜取出，3例经支气管镜经气管切开日取出，1例经纤支镜取出。1例并发肺水肿，经治疗后痊愈。结论特殊类型的气管异物由于异物的特殊性，选择合适的麻醉方法、手术方式及手术器械是手术成功的关键。

Objective To investigate the approach of diagnosis and therapy of particular tracheal bronchus foreign body. Methods The clinical materials of 26 cases cured in our department were analyzed retrospectively. Results All foreign bodies of eases were taken out successfully. Among them,the foreign bodies of 18 eases were re- moved from glottis ; the foreign bodies of 4 eases were pulled out via laryngoscope; the foreign bodies of 3 cases were drawn away through traeheotomy by endoscopy and 1 case was moved out by bronehofibroscopy. Only 1 ease had lung edema and then was cured by proper treatment. Conclusion Considering that the particular foreign bodies in tracheal bronchus are complicated sometimes, the diagnosis and therapy should be treated appropriately according to different situation. Furthermore, properly choosing surgical appliances and the approaches of anaesthesia and surgery is also critical.