成年人的异物吸入(FBA)确实是一个重要的医学问题,虽然不像儿童那么常见。随着年龄的增长,发病率的增加可以归因于诸如精神状态下降和吞咽反射受损等因素。这在老年人群中更为普遍。FBA的症状变化很大,从严重的,急性窒息,可能或可能不涉及完全气道阻塞,更微妙的迹象,如咳嗽,呼吸急促(呼吸困难),窒息,或发烧。这些不同的介绍,再加上许多其他医疗状况可以模仿FBA中的呼吸道症状,诊断具有挑战性。通常需要高度怀疑,尤其是在患者的病史没有明确指向误吸的情况下。即时管理侧重于支持气道,考虑到严重梗阻的可能性,这是至关重要的。射线照相成像在定位异物中起着关键作用,这对于计划清除它至关重要。支气管镜检查,特别是柔性支气管镜检查,是诊断和治疗的基石。这种技术可以直接观察气道,异物的定位,以及随后的移除。这对于避免长期并发症至关重要,如果不及时有效地清除异物,可能会出现这种情况。在这个案例报告中,我们介绍了一名64岁的女性患者,该患者被发现有异物位于肺部右下叶,并通过柔性支气管镜切除.
Foreign body aspiration (FBA) in adults is indeed a significant medical concern, albeit less common than in children. The increase in incidence with advancing age can be attributed to factors such as a decline in mental status and impairment of the swallowing reflex, which is more prevalent in the elderly population. The symptoms of FBA are highly variable, ranging from severe, acute asphyxiation, which may or may not involve complete airway obstruction, to more subtle signs like coughing, shortness of breath (dyspnea), choking, or fever. These varied presentations, coupled with the fact that many other medical conditions can mimic the respiratory symptoms seen in FBA, make diagnosis challenging. A high index of suspicion is often required, especially in cases where the patient\'s history does not clearly point toward aspiration. Immediate management focuses on supporting the airway, which is crucial given the potential for severe obstruction. Radiographic imaging plays a key role in localizing the foreign body, which is vital for planning its removal. Bronchoscopy, particularly flexible bronchoscopy, is the cornerstone of both diagnosis and treatment. This technique allows for direct visualization of the airways, localization of the foreign body, and its subsequent removal. This is crucial to avoid long-term complications, which can arise if the foreign body is not promptly and effectively removed. In this case report, we present a 64-year-old female patient who was found to have a foreign object positioned in the right lower lobe of the lungs that was removed via flexible bronchoscopy.