关键词: Airway foreign body Localization Medical glue Small pulmonary nodules

Mesh : Humans Thoracic Surgery, Video-Assisted / methods Lung Neoplasms / surgery etiology Cyanoacrylates Multiple Pulmonary Nodules / surgery Tomography, X-Ray Computed / methods Foreign Bodies / diagnostic imaging surgery Iatrogenic Disease Solitary Pulmonary Nodule / etiology Retrospective Studies

来  源:   DOI:10.1186/s12890-023-02321-x

Abstract:
BACKGROUND: A tracheal foreign body is a common airway aspiration that creates an emergency, which often causes unobserved respiratory problems and requires management. Iatrogenic tracheal foreign bodies are rarely observed, which results in tracheal obstruction. If the foreign body were removed from the tracheobronchial system, it would save lives. A similar case of a tracheal foreign body was focused on, which was caused by medical glue used during preoperative computed tomography localization of pulmonary nodules.
METHODS: The foreign body was deposited in the right upper bronchi, accidentally discovered after anesthesia when a double-lumen tube was located by fiber bronchoscopy. Following a video-assisted thoracoscopic surgery, the foreign body was removed using a respiratory endoscopy without subsequent adverse consequences for the patient.
CONCLUSIONS: There is a risk of complications from iatrogenic airway foreign bodies for preoperative localization of pulmonary nodules by injecting cyanoacrylate glue.
摘要:
背景:气管异物是一种常见的气道抽吸,会造成紧急情况,这通常会导致未观察到的呼吸问题,需要管理。很少观察到医源性气管异物,导致气管阻塞.如果异物从气管支气管系统中取出,它会拯救生命。关注了一个类似的气管异物病例,这是由肺结节术前计算机断层扫描定位过程中使用的医用胶引起的。
方法:异物沉积在右上支气管,麻醉后意外发现,当纤维支气管镜检查定位双腔管时。在电视胸腔镜手术后,使用呼吸内镜将异物取出,随后对患者无不良后果.
结论:术前注射氰基丙烯酸酯胶对肺结节定位存在医源性气道异物并发症的风险。
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