13例医源性气管支气管异物的临床资料分析

Clinical analysis of 13 patients with iatrogenic tracheobronchial foreign body

摘要:

目的：探讨医源性气管异物的临床特点、治疗方法及预防措施。方法：回顾性分析13例医源性气管异物患者的临床资料,13例异物中来源于患者自身组织7例,外来异物6例。异物位于主气管5例,左侧支气管3例,右侧支气管4例,位置不详1例。无明显临床症状者8例,单纯呛咳2例,呛咳伴喘鸣音、呼吸困难3例。采用硬质支气管镜取异物5例,纤维支气管镜5例,其他方式3例。结果：13例患者均顺利取出异物,除拔牙造成气管异物的患者术后出现气胸转胸外科进一步治疗外,其他患者未出现明显并发症。结论：医源性气管异物发生原因多样,临床表现缺乏特异性,在临床工作中应注重预防,治疗上应根据其不同的临床特点选择相应的方式取出异物。

Abstract:

Objective: To investigate the clinical characteristics,treatments and precautionarySmeasures for iatrogenic tracheal foreign body.Methods: Clinical data of 13 patients with iatrogenic tracheal foreign body were retrospectively analyzed,Among the 13 cases, 7 cases of foreign body came from the patient"s own tissues and 6 were foreign matters.The foreign bodies located in the main trachea,left bronchus,right bronchus and unknown location were 5cases ,3cases ,4cases and 1 cases respectively.8 cases had no obvious clinical symptoms,2 cases were simple choking cough and 3 cases were choking with wheezing and dyspnea. 5 cases of foreign bodie were removed by rigidbronchoscope, 5 cases were removed by fiberoptic bronchoscope and 3 cases by other methods.Results:All the 13 foreign bodies were removed successfully,1 patients with tracheal foreign bodies caused by tooth extractionin developed pneumothorax after operation was transferred to thoracic surgery for further treatment,there were no obvious complications in other patients.Conclusion: The causes of iatrogenic tracheobronchial foreign bodies were various and the clinical manifestations were lack of specificity,so it’s very important to prevent and discriminate it from happening clinically, and an appropriate method should be selected for removing the foreign bodies according to the different clinical characteristics.