PDF(Pubmed)
Abstract：
The risk of foreign body aspiration associated with uncapped handheld metered-dose inhalers (MDIs) is underestimated. We report a case in which a plastic cable clip accidentally lodged in the mouthpiece of an uncapped pressurized MDI was aspirated during its use. A literature search revealed 16 other cases of foreign body aspiration associated with uncapped handheld inhalers, all but one of which were pressurized inhalers. Patients should be informed of the risk of foreign body aspiration associated with uncapped pocket inhalers. The use of an uncuffed armoured tracheal tube with a separate oxygen tubing during flexible bronchoscopy for foreign body removal ensures a safe airway. Foreign bodies that exceed the lumen size of the tracheal tube can be pulled to the distal opening with forceps and removed when the tube is withdrawn.
摘要：
与无盖手持式计量吸入器（MDI）相关的异物吸入风险被低估了。我们报告了一种情况，在使用过程中，意外地将塑料电缆夹吸进了未加盖的加压MDI的吸嘴中。文献检索显示，其他16例异物吸入与无盖手持吸入器有关，除了一个是加压吸入器。应告知患者与无盖袋式吸入器相关的异物吸入的风险。在柔性支气管镜检查过程中，使用带有单独氧气管的无袖口铠装气管导管进行异物清除可确保安全的气道。超过气管导管的管腔尺寸的异物可以用镊子被拉到远端开口,并且在收回管时被移除。
