"Postural Maneuver" Promotes the Successful Removal of a Tracheobronchial Foreign Body by Ultra-Thin Flexible Video Bronchoscopy in an Adult: A Case Report

“姿勢輔助法”可促進使用軟式影像細支氣管鏡移除成人氣管內異物的成功率－病例報告

黃國楝(Kuo-Tung Huang) ； 鍾聿修(Yu-Hsiu Chung) ； 林孟志(Meng-Chih Lin)

《胸腔醫學》 22卷4期 (2007/08) Pp. 249-254

https://doi.org/10.29806/TM.200708.0004

摘要

異物吸入常務生於小孩，是一個須緊急處理的急症，成人雖較少發生，但臨床上診斷較小孩困難，故死亡率較高。臨床症狀可從慢性非特異性的呼吸道症狀、氣喘、阻塞性肺炎到呼吸衰竭甚至死亡。我們應嘗試任何可以幫助移除氣管內異物的方法來移除氣管內異物，降低病患的傷害及死亡率。
本例是一位78歲男性病志，於外院進行假牙植入時發生金屬假牙吸入氣管的意外。我們無法在使用傳統躺臥姿勢下進行的軟式影像細支氣管鏡檢查中找到金屬假牙，因此我們使用了“姿勢輔助法”來協助並進行軟式影像細支氣管鏡檢查，顺利的找到了金屬假牙並將其成功地移除。

關鍵字

氣管內異物 ； 軟式影像細支氣管鏡 ； 姿勢輔助法

並列摘要

Tracheobronchial foreign body (TFB) aspiration can be a life-threatening emergency requiring immediate intervention, even though it is less common in adults than in children. It also can be a chronic non-specific symptom mimicking other lung diseases, from bronchial asthma to severe obstructive pneumonia. Successful removal of the TFB in different circumstances should be performed to reduce morbidity and mortality.
A 78-year-old man aspirated a metallic dental implant, with the presenting symptoms of cough and mild fever. The implant was not visible by flexible video bronchoscopy in the supine position. It was subsequently removed successfully by flexible video bronchoscopy using the simple method of a ”postural maneuver”.

並列關鍵字

tracheobronchial foreign body ； flexible video bronchoscopy ； postural maneuver