[The diagnosis and treatment of special airway foreign body].

Abstract

OBJECTIVE:

The aim of this study was to discuss the diagnosis and treatment of special airway foreign body.

METHOD:

Clinical data of 69 patients with airway foreign body were analyzed,of which 45 patients underwent rigid bronchoscopy while another 24 patients underwent tracheotomy.

RESULT:

The operations succeeded in 43 of the 45 patients who underwent rigid bronchoscopy, while the other 2 patients died of respiratory failure because of the foreign body slipping off at the level of the glottis. All of the 24 other patients were cured, in which continuous saturation of blood oxygen below 90% occurred in 8 patients and turned normal after positive airway pressure in intensive care unit (ICU). The total cure rate reached 97.1%.

CONCLUSION:

Most of special foreign body in the airway can be taken out through tracheotomy under general anesthesia. If the foreign body is too big and irregularly, or the patients is too young or have the pulmonary atelectasis, it is much safer to remove foreign body by tracheotomy.

• Authors: Lei Wu, Banghua Liu, Weijia Kong, Chengzhang Yang, Guangping Wang, Qingsong Yu, Xin'gao Xiong, Lixin Zhu, Jianxin Yue
• Journal: Lin chuang er bi yan hou ke za zhi = Journal of clinical otorhinolaryngology (Lin Chuang Er Bi Yan Hou Ke Za Zhi) Vol. 20 Issue 18 Pg. 820-1 (Sep 2006) China
• PMID: 17144487 (Publication Type: English Abstract, Journal Article)

Topics

• Adolescent
• Adult
• Aged
• Bronchoscopy
• Child
• Child, Preschool
• Female
• Foreign Bodies (diagnosis, surgery)
• Humans
• Male
• Middle Aged
• Respiratory System
• Tracheotomy
• Young Adult