Surgical treatment of late-diagnosed bronchial foreign body aspiration: a report of 23 cases
Surgical treatment of late-diagnosed bronchial foreign body aspiration: a report of 23 cases
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DOI：
10.1111/crj.12040
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发表时间：
2014-07-01
影响因子：
1.7
通讯作者：
Jiang, Gening
中科院分区：
文献类型：
--
作者：
Duan, Liang;Chen, Xiaofeng;Jiang, Gening
背景和目的：晚期诊断的支气管异物可导致支气管和肺部不可逆的变化。到目前为止，很少有关于手术治疗这种情况的报道。方法：回顾性分析1980 ~ 2010年我院收治的23例晚期支气管异物患者的临床资料，总结其临床病理特点及手术治疗方法。为取出异物，6例患者行支气管切开术，17例患者行肺切除术。异物位于右侧17例，左侧6例。大多数异物来自食物。术后发生支气管胸膜瘘2例。结论：详细的病史、对异物吸入的认识和详细的支气管镜检查有助于避免肺切除术。然而，后者是必要的患者与相关的实质性肺部病变，以防止这些进展为严重的肺部感染，如肺化脓或脓胸。
Background and Aims: Late-diagnosed bronchial foreign bodies can lead to irreversible changes in the bronchi and the lungs. To date, few reports are available concerning surgical treatment for this condition. The present report summarizes clinicopathological features and surgical treatment options for late-diagnosed bronchial foreign body aspiration.Methods: Clinical data of 23 patients who underwent surgical treatment for late-diagnosed bronchial foreign body aspiration in our hospital from 1980 to 2010 were reviewed.Results: The patients included 17 male and six female patients, aged 6 to 66 years. To remove the foreign body, bronchotomy was performed in six patients and pulmonary resection in 17 patients. Foreign bodies were located on the right side in 17 cases and on the left side in six cases. The majority of the foreign bodies were of food origin. Postoperative bronchopleural fistula occurred in two patients. One patient died of renal failure subsequent to lung infections.Conclusions: Detailed history, awareness of potential foreign body aspiration and thorough bronchoscopic examination are helpful to avoid pulmonary resection. However, the latter is necessary in patients with the associated substantial lung lesions to prevent these from progressing into serious lung infections such as pulmonary suppuration or empyema.