Foreign Body Aspiration with a Movable Suction Tube Shifted from Left to Right Bronchus-A Case Report

吸入性異物－抽痰管在左右氣管內遊走－病例報告

黃月蘭(Yueh-Lan Huang) ； 王誠一(Cheng-Yi Wang) ； 林恆毅(Hen-I Lin) ； 鍾世哲(Shih-Tze Chung) ； 張炎德(Yen-Teh Chang)

《胸腔醫學》 25卷1期 (2010/02) Pp. 26-30

https://doi.org/10.29806/TM.201002.0005

摘要

吸入性異物常發生在小孩及老年人身上。我們報告一位65歲男性病患。因不知吸入異物多長時間而導致左側大量胸水及膿胸。在胸部X光及電腦斷層掃描下證實了一支約11公分長的抽痰管在左側氣管，但四天後安排支氣管鏡取出時卻發現抽痰管在右側氣管。在不明確的病史及胸部X光沒任何發現下，吸入性異物常常難被發現，且往往會讓症狀持續而不見改善。吸入性異物偶會危及生命並需要盡快取出。支氣管鏡是取出異物的初步選擇。

關鍵字

異物 ； 抽痰管 ； 膿胸

並列摘要

Foreign body aspiration (FBA) usually occurs in children and the elderly. We report a 69-year-old man who had left-side massive pleural effusion and empyema secondary to a movable foreign body, without knowing the exact time of the FBA. A suction tube, 11 cm in length, was initially found by chest radiography and computed tomography (CT) in the lower trachea extending to the left bronchus. However, 4 days later, the suction tube was retained between the lower trachea and right bronchus, using flexible bronchoscopy, and then removed successfully. Empyema in the left side persisted, so video-assisted thoracoscopic surgery for decortication was performed, and his pneumonia then improved. FBA may be undetected due to an atypical history or misleading clinical and radiological findings. It can be unrecognized for a long time until symptoms and signs occur or persist. FBA is sometimes a life-threatening emergency and requires prompt attention. Flexible fiberoptic bronchoscopy can be chosen as the first-line approach to remove the foreign body.

並列關鍵字

foreign body ； suction tube ； empyema