PDF(Pubmed)
Abstract：
Unilateral Tracheobronchial foreign body (TFB) present a common clinical disease, whereas bilateral TFB is a rare and acute condition associated with high mortality rates. This case study discusses a pediatric patient hospitalized due to respiratory distress following accidental ingestion of peanut kernels. A plain chest CT scan revealed obstructive emphysema in the right main bronchus and a foreign body at the opening of the left main bronchus. Surgical removal of the bilateral TFB under extracorporeal circulation resulted in a successful postoperative recovery, leading to discharge on the 9th day. A comprehensive literature search was conducted across databases including PubMed, Web of Science, EMBASE, Cochrane Library, and CNKI, spanning publications from January 2014 to October 2023, utilizing keywords \"bronchial foreign body\" and \"Peanut\". After deduplication and relevance screening, 9 pertinent literature sources were included. The objective of this study is to enhance clinical practitioners\' understanding of TFB management and improve diagnostic and treatment capabilities through analysis of age of onset, clinical manifestations, diagnosis, and treatment approaches in critically ill pediatric patients.
摘要：
单侧气管支气管异物(TFB)是临床常见病,而双侧TFB是一种与高死亡率相关的罕见急性疾病。此案例研究讨论了因意外摄入花生仁而因呼吸窘迫而住院的儿科患者。胸部CT平扫显示右主支气管有阻塞性肺气肿，左主支气管开口处有异物。在体外循环下手术切除双侧TFB导致成功的术后恢复。导致第9天出院。在包括PubMed在内的数据库中进行了全面的文献检索，WebofScience,EMBASE,科克伦图书馆,和CNKI，涵盖2014年1月至2023年10月的出版物，使用关键词“支气管异物”和“花生”。在重复数据删除和相关性筛选之后，包括9个相关文献来源。本研究的目的是通过分析发病年龄，提高临床医生对TFB管理的理解，提高诊断和治疗能力。临床表现，诊断,危重儿科患者的治疗方法。
