摘要
目的归纳总结成人气道异物患者的临床资料及诊疗经验。方法回顾性分析2014年1月至2019年9月首都医科大学附属北京友谊医院收治的8例成人气道异物患者的临床资料,包括基本情况、主要临床表现、气道异物的位置及种类、肺部CT及气管镜检查情况。结果8例患者均为男性,年龄为55~87岁,平均(68±12.77)岁。临床症状主要为咳嗽、咳痰、憋气及咯血。其中7例患者异物均位于右侧气道,另1例患者异物位于左侧气道。异物为豆类、辣椒、骨头、玻璃碎片以及义齿。可弯曲支气管镜下操作器械包括异物钳、冷冻、网篮以及激光。2例患者肺部CT资料缺失,其他6例患者肺部CT显示:玻璃与辣椒呈高密度影,豆类呈低密度影。气管镜下可见异物阻塞相应气道,且不同异物引起的气道黏膜病变有各自不同的特点。结论成人气道异物多位于右侧气道,病情严重程度不一,可弯曲支气管镜常作为治疗首选。
Objective To summarize the clinical data and experience of diagnosis and treatment of adult patients with airway foreign bodies.Methods The clinical data of 8 adult patients with airway foreign bodies admitted to the Beijing Friendship Hospital,Capital Medical University from January 2014 to September 2019 were retrospectively analyzed,including basic data,main clinical manifestations,location and type of airway foreign bodies,pulmonary CT and bronchoscopy.Results The 8 patients were all males,aged 55 to 87 years,with an average of(68±12.77)years.The clinical symptoms were mainly cough,expectoration,labored breathing and hemoptysis.7 patients had foreign bodies on the right airway,and one patient had foreign bodies on the left.Foreign bodies are beans,peppers,bones,glass fragments and dentures.Flexible bronchoscope operating instruments included foreign body clamps,freezers,baskets,and lasers.The pulmonary CT data of 2 patients were missing.The CT of the remaining 6 patients showed high density of the glass and pepper and low density of beans.Under the bronchoscope,the foreign bodies obstructed the corresponding airway,and the airway mucosal lesions caused by different foreign bodies had different characteristics.Conclusion Adult airway foreign bodies mostly located in the right airway,the severity of the disease varies,and flexible bronchoscopy is often the first choice for treatment.
作者
姚志刚
吴艳军
何馨
聂姗
于刚刚
贾楠
徐波
王浩彦
YAO Zhi-gang;WU Yan-jun;HE Xin(Department of Respiratory Medicine,Beijing Friendship Hospital,Capital Medical University,Beijing 100050,China)
出处
《临床和实验医学杂志》
2020年第5期497-499,共3页
Journal of Clinical and Experimental Medicine
基金
国家自然科学基金(编号:81870029,81700038)
首都卫生发展科研专项(编号:2018-2-2024).
关键词
成人
气道异物
可弯曲支气管镜
Adult
Airway foreign body
Flexible bronchoscope
