A Rare Iatrogenic Bronchial Foreign Body Detected by Routine Bronchoscopy after Percutaneous Tracheostomy: A Case Report

我們報導一位罹患罕見醫原性支氣管異物之病例，不預期地在經皮擴張性氣管切開手術後，經由例行性使用支氣管鏡證實並治療。在施行經皮擴張性氣管切開術時，例行性使用支氣管鏡不僅可避免氣管後壁之傷害並且可預防異物留滯在呼吸道。此罕見醫原性支氣管異物，最後被確認是在使用呼吸道交換導管並噴射通氣時，從呼吸道交換導管上所掉落之零件。在使用呼吸道交換導管並噴射通氣時，務要謹慎。此同一病例當時在使用呼吸道交換導管並噴射通氣後，亦併發一不尋常之氣胸，其鑑別診斷予一併討論。

關鍵字

支氣管異物；支氣管鏡；經皮擴張性氣管切開術

並列摘要

We describe herein a patient with an unusual iatrogenic bronchial foreign body, who was confirmed and treated unexpectedly with the routine use of a bronchoscope in the process of percutaneous dilatational tracheostomy (PDT). Routine use of the fiberoptic bronchoscope in PDT can prevent not only injury to the tracheal posterior wall, but also avoid the associated iatrogenic tracheobronchial foreign body retention in the airway. This unusual iatrogenic bronchial foreign body was identified subsequently as a part of the airway exchange catheter. The airway exchange catheter should be used meticulously during jet ventilation. The differential diagnosis of an unusual pneumothorax, which occurred shortly after the use of the airway exchange catheter with jet ventilation in the same case, is also discussed.

並列關鍵字

bronchial foreign body ； bronchoscopy ； percutaneous dilatational tracheostomy

國際替代計量

A Rare Iatrogenic Bronchial Foreign Body Detected by Routine Bronchoscopy after Percutaneous Tracheostomy: A Case Report

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