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首页> 外文期刊>Open Journal of Thoracic Surgery >Bronchotomy as a Safe and Feasible Alternative to Failed Bronchoscopic Removal of Foreign Body Inhalation in Pediatrics. A Seven-Year Review
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Bronchotomy as a Safe and Feasible Alternative to Failed Bronchoscopic Removal of Foreign Body Inhalation in Pediatrics. A Seven-Year Review

机译：支气管切开术是一种安全性和可行的替代品，失败了支气管镜检查了在儿科中的异物吸入。 七年审查

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Background: Aspiration of foreign body is popular in pediatric age group and is considered as an important cause of respiratory distress and chocking in these children. Management strategies are different according to the mode of presentation. This study aims to assess the efficacy of rigid bronchoscopy and the role of bronchotomy as a safe alternative for failed removal of inhaled foreign body. Methods: We enrolled 254 patients with foreign body aspiration (FBA) up to 14 years old in a retrospective observational study. Our patients were reviewed from the Cardiothoracic Surgery Department and cases referred from Otorhinolaryngology Department, Menoufia University Hospital between June 2010 and July 2017. Using jet ventilation technique, foreign body was removed by the rigid bronchoscopy with either extracting forceps or postural drainage. Surgical interference such as bronchotomy needed in distally impacted foreign bodies (FBs). Results: Our study included 254 patients prepared for bronchoscopic FBs extraction. Most of cases (68.8%) presented early within first week (174 cases). No FBs detected in 44 cases by rigid bronchoscopy, although it was successful in 176 (69.5%) cases with non- impacted inhaled FBs. 14 cases only needed postural drainage due to inaccessible FBs, another 12 cases failed to extract FB with rigid bronchoscopy but they were managed with flexible bronchoscopy. Bronchotomy was needed for impacted FBs in eight cases (3%). Conclusion: This study’s findings support that rigid bronchoscopy is the gold standard in the diagnosis and removal of foreign body aspirations in pediatrics, but rigid bronchoscopy demonstrated less capability in the diagnosis and removal of small distally located foreign bodies. Bronchotomy is safe and effective alternative.
机译：背景：异物的愿望在儿科年龄组中受欢迎，被认为是这些儿童呼吸窘迫和挖掘的重要原因。根据介绍方式，管理策略不同。本研究旨在评估刚性支气管镜检查的疗效和支气管术中的作用作为防吸入异物的消除失败的安全替代品。方法：在回顾性观测研究中，我们注册了254名外国愿望（FBA）的外国愿望（FBA），高达14岁。我们的患者于2010年6月至2017年6月之间从Cartihinolary oppory of oTorhinolaryngology部门提到的患者审查，使用喷射通风技术，用刚性支气管镜检查，通过提取钳或姿势引流来除去异物。外科干扰，如贿赂术中的贿赂术，异物（FBS）。结果：我们的研究包括用于支气管镜FBS提取的254名患者。大多数情况（68.8％）在第一周内提前呈现（174例）。刚性支气管镜检查44例中未检测到FB，但在176（69.5％）中成功，患有非受影响的吸入FBS。 14例只需要由于难以接近的FBS造成的姿势引流，另外12例未能用刚性支气管镜检查提取FB，但它们用柔性支气管镜检查进行管理。在8例（3％）中受影响的FBS需要支气管术。结论：本研究的调查结果支持刚性支气管镜检查是诊断和去除儿科外身抱负中的黄金标准，但刚性支气管镜检查较少的诊断能力较小，较小的外部物体。支气管切开术是安全有效的替代品。

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