PDF(Pubmed)
Abstract：
Foreign body (FB) aspiration is an infrequent cause of respiratory distress in adults. Advancing age, central nervous system disorders or trauma, drug or alcohol addiction, neuromuscular diseases, and mental health issues and illnesses are the main risk factors. The authors present an atypical clinical presentation of a 3-week-lasting foreign body aspiration mimicking a tumour that led to severe acute respiratory insufficiency and required aggressive artificial lung ventilation. Diagnosis of FB was based on the results of the chest computed tomography (CT) scans and flexible bronchoscopy, which, however, initially assumed a neoplastic disease in the right main bronchus. During FB extraction via flexible fiberoptic bronchoscopy inserted through an 8.5 mm endotracheal tube high-frequency ventilation through a catheter placed between the vocal cords was used to ensure adequate alveolar ventilation and maintain sufficient oxygenation. After extraction of the FB, thoracosurgical intervention was performed to resolve empyema as a septic complication of the FB aspiration. After this therapy, a complete resolution of pleural empyema and lung atelectasis was observed.
摘要：
异物（FB）吸入是成人呼吸窘迫的罕见原因。推进年龄，中枢神经系统疾病或创伤，药物或酒精成瘾，神经肌肉疾病,心理健康问题和疾病是主要的危险因素。作者提出了一种非典型的临床表现，即持续3周的异物吸入模仿肿瘤，导致严重的急性呼吸功能不全并需要积极的人工肺通气。FB的诊断基于胸部计算机断层扫描（CT）扫描和柔性支气管镜检查的结果，which,然而,最初假设右主支气管为肿瘤性疾病。在通过柔性纤维支气管镜进行FB提取期间，通过8.5mm气管内导管插入高频通气，通过放置在声带之间的导管进行高频通气，以确保足够的肺泡通气并保持足够的氧合。提取FB后，进行胸外科手术以解决脓胸作为FB抽吸的败血症并发症。经过这种治疗,观察到胸膜脓胸和肺不张的完全缓解。
