The Zhou Yunzhi team of the Emergency General Hospital cleared the airway foreign body for the patient, and the superb technology passed on the name of the beauty

The bronchial bronchial foreign body refers to the inhalation of peanut rice, beans, corn kernels, large food groups and other foreign bodies inhaled into the bronchial bronchial block, causing severe cough, dyspnea, and even suffocation. After the blockage of the airway, according to the blockage of the block, the degree of blockage, the speed of the blocking development, and the patient's cardiopulmonary function, patients may have urgent and dangerous situations such as severe cough, face blue, and unable to breathe. Tao obstruction can die due to hypoxia.

Clinically, adult bronchial foreign objects are also uncommon. Because the adult's cough ability is strong, and the trachea is larger than that of children, foreign bodies are not easy to block in the main trachea after entering the airway, and it is easy to fall down and block it in the bronchus. Especially because the right side of the right side of the trivial pipe is more straight, foreign bodies are more likely to enter the bronchies on the right. Adults' bronchial foreign bodies sometimes do not have obvious symptoms. Some people can't remember the history of eating cough, but usually there are chronic coughs that last longer. Cough, sputum, and cure for a long time. At this time, if the bronchial mirror is not performed, it is easy to be misdiagnosed as other diseases.

Recently, the National Emergency Medical Research Center/Emergency General Hospital's intervention team's intervention team successfully completed a foreign body extraction surgery in the tracheal mirror, and the "uninvited guest" that was mistaken into the airway-Dendrobium was successfully removed.

Diagnosis

Grandpa Duan who accidentally inhaled the traces of the airway. He suffered from heart disease, hypertension, chronic renal insufficiency, and chronic bronchitis for many years. I heard that Dendrobium had nourishing effects, so he bought some use. Originally Dendrobium should be tea for the descendants of water, but Grandpa Duan did not know that he would eat it directly. During the process of eating, cough, feeling unwell, cough, sputum, did not care about it at first. After 3 days, Grandpa Duan appeared fever. After the consultation, he found foreign bodies in the left main bronchial, accompanied by inflammation around him. The anxious family members inquired, and later introduced to the National Emergency Medical Research Center/Emergency General Hospital of the Respiratory and Critical Medicine Division to find Director Zhou Yunzhi.

Director Zhou Yunzhi carefully checked the elderly's condition, and quickly formulated the surgical plan: under the use of the bronchial mirror under the general anesthesia to remove the foreign objects in the trachea.

Pre -operative chest CT left main bronchial foreign body shadow

After arranging Grandpa Duan to be hospitalized and perfected the preoperative examination, Director Zhou Yunzhi performed a bronchial mirror inspection for Grandpa Duan under the full hemp. After the lumen, after fully attracting the secretions, freeze the left main bronchial foreign body through the frozen carbon dioxide, which is Dendrobium Dendrobium.

The entire surgery was about 10 minutes, and the patient had no pain and successfully completed the operation.

Left master bronchial foreign body

Frozen

Forex (Dendrobium)

treatment effect

After removing the foreign body, Grandpa Duan breathed smoothly and the mental state improved significantly. After surgery, supplemented by the corresponding anti -infection treatment, Grandpa Duan recovered very well and was happy to be discharged.

Postoperative chest CT:

Foreign shadow in the left main bronchium disappears

Summary

Traps and bronchis are one of the common emergency respiratory sciences. They mostly occur in children under 5 years of age, but it is not uncommon among adults, especially in chronic respiratory system, spirit, nervous system disease and long -term alcoholism, bad eating habits, etc. Related factors are more common.

There are many types of foreign objects that enter the airway. After the foreign body is inhaled, there can be severe cough, stretching, phlegm or varying degrees of hemoptysis. When foreign bodies are large, they can cause breathing difficulties and even suffocate death. Essence Because the symptoms are not typical misdiagnosis and missed diagnosis. When the foreign body is stimulated or secondary infection, the airway secretion increases and the cough is increased, causing relevant respiratory inflammation and fever.

Doctors using electronic bronchoscopy can take out foreign bodies through tracting, and the operation is simple. Especially after intravenous anesthesia, operation can reduce the discomfort of fear and treatment. It is especially suitable for people with chronic basic diseases and poor tolerances. They can better cooperate with doctors to complete the foreign body.

Kind tips

Director Zhou Yunzhi reminded how the elderly would prevent bronchial foreign objects: pay attention not to speak, laugh, do not eat as much as possible when eating. For the elderly with basic diseases such as cerebral infarction, cerebral hemorrhage, and Parkinson, they should be careful that the bedside should be raised when eating. Try not to eat foods containing bones, hard cores or rounds to avoid inhalation into the airway by mistake.

Once cough occurs when eating, you can pat your back to promote foreign body cough. If you do n’t have a foreign body, you must seek medical treatment in time to exclude the psychiatric mirror inspection and take out the foreign body.

Source: Division of Breathing and Critical Critical Medicine

Author: Wang Shufang

Review: Zhou Yunzhi

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