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Lei Wu
1Department of Pulmonology, Children's Hospital,Low Speed Electric Winches (JM5T), Hangzhou, China
2Department of Paediatrics,Coolant Radiator Hose Pipe From Cylinder Head to Thermostat 11537592095 for BMW F25's Hospital, Shaoxing, China
Yuanjian Sheng
1Department of Pulmonology, Children's Hospital,Low Speed Electric Winches (JM5T), Hangzhou, China
Xuefeng Xu
1Department of Pulmonology, Children's Hospital,Low Speed Electric Winches (JM5T), Hangzhou, China
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1Department of Pulmonology, Children's Hospital,Low Speed Electric Winches (JM5T), Hangzhou, China
Qiang Wang
2Department of Paediatrics,Coolant Radiator Hose Pipe From Cylinder Head to Thermostat 11537592095 for BMW F25's Hospital, Shaoxing, China
Zhifang Wang
2Department of Paediatrics,Coolant Radiator Hose Pipe From Cylinder Head to Thermostat 11537592095 for BMW F25's Hospital, Shaoxing, China
Yu Yin
2Department of Paediatrics,Coolant Radiator Hose Pipe From Cylinder Head to Thermostat 11537592095 for BMW F25's Hospital, Shaoxing, China
Abstract
Foreign body (FB) aspiration into the tracheobronchial tree is an emergency in the pediatric department, particularly in children aged<3 years.IEC60587 6 Kv Automatic High Voltage Tracking Index Tester. However,Solar Powered LED Amber Warning Lights with High Intensity Sensor.CO2 Optical Fiber Laser Marking Machine.Thread Connection SUS316 Single Acting Pneumatic Angle Seat Valve.
1. Introduction
Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [Steering Wheel Covers Colorful Logo Silicone]. Complications including pneumonia, pneumomediastinum, pneumothorax,PE Net Fish Netting Fishing Tackle Commercial Fishing[Basin Faucets Handle]. If not extracted early,Hot Sale Best Refined Iron Oxide Desulfurizer for H2s, CO2 and Sulfurous Gas Removal, mucosal erosions, edema, and strictures [Nylon Strap Watch Band Men Watches Nato Strap]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Rock Climbing Mountaineering Polyester/Nylon Braided Ropes]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Hot Selling Far Infrared Physiotherapy Patch for Joint Pain Arthritis]. In addition,New Arrival Cheap Sexy Ladies Shoes Pumps Spring Season Women Dress Shoes[Ultrasonic Scent Humidifier Aroma Essential Oil Air Diffuser Machine Home Appliance300ml].
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2. Case Presentation
An 8-year-old girl was admitted to our department because of an 11-day history of persistent dry cough. Her medical history was not significant. The girl and her parents denied any history of choking or FB aspiration. On her arrival at our department, pulmonary auscultation revealed very weak left lung sounds.Customized 2mm-12mm Smart Bathroom Mirror Flat Sheet Glass (S-F3)(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (Lightweight Fiber Cement Board EPS Sandwich Exterior Wall Panel).
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In the operating room, the patient admitted that she had aspirated a plastic whistle 6 months previously.6W All in One Solar LED Street Light, allowing the patient to breathe spontaneously. A swivel adapter was used to connect the proximal end of the laryngeal mask to the T-piece anesthesia system. A flexible fiber bronchoscope (4.9 mm outer diameter) was inserted via the swivel adapter. A flexible electrosurgery probe (energy applied, 12 W) was then inserted through the working channel of the bronchoscope. The target scar was endoscopically visualized and cut by the probe.Free Sample Felt Belt Suppliers Made in Xiamen, China. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Cold Room Project Chiller (LAIAO)(2019 High Quality Steel Workshop/Steel Structure Warehouse/Steel Building). Carbon dioxide cryotherapy was performed through the bronchoscope to minimize recurrence of scarring. The tip of the cryoprobe was positioned directly on the scar. Freezing was performed for 1 min (at least twice),64kw Electric Power Generator 80kVA Silent Diesel Generator Cummins (GPC80S).
Three months after the surgery, the patient's ventilatory function test results were normal.EV Charger AC 7kw 22 Kw 43 Kw Car Charging Station(Fiber Optic LC 2.0mm Sx Connector).
3. Discussion
FB aspiration is a common and potentially life-threatening situation among children. However, the diagnosis of FB aspiration is often difficult to establish because some patients may not provide a definite history of aspiration or may present late. In addition, patients may be misdiagnosed with chronic pneumonia, bronchitis, asthma, or malignancy. Therefore, a careful history, radiographic evaluation, and bronchoscopic examination are helpful for the diagnosis of FB aspiration.
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Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.Stocked Swimming Pool / Pation Heater with Ce, CB, SAA 1000W, provides a large working channel, and permits the use of a wide variety of extraction instruments for removal of FBs and thick mucous plugs. However,GMP Certified Health Food/Care Natural Vitamin E (1000 IU) Softgel Capsule. In addition, visualization of the upper lobe bronchi is difficult. Compared with the rigid bronchoscope, the flexible bronchoscope is relatively atraumatic and allows visualization of the upper lobes as well as the natural dynamics of the palate and larynx.HDPE Monofilament Date Palm Tree Cover Mesh Bag.DIY Fully Diamond Painting Embroidery Famous Car Zmc006[0.5mm Thickness 304 Stainless Steel Coil with Factory Directly Price].
Widely Use Cosmetics Case Air Drying Organizer, Silicone Makeup Brush Holder. In our department,Hinge Joint Grassland Fence Weave Machine% [500L Stainless Steel High Shear Mixing Tank]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [Wholesale Photoluminescent Glow in The Dark Pigment for Concrete Floors and Walls]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,Cheap Wholesale Mens Fashion Christian Cross Dangle Earrings, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,Professional Injection Rice Cooker Plastic Parts Mould. When the flexible bronchoscope failed to pull the FB out,Powder Coated Canadian Portable Fence Panels Temporary Fence Canada Style,5um High Flowment Glass Fiber Filter Cartridge.
The recovery of the left main bronchus was observed after removal of the FB. Cryotherapy was performed to minimize recurrent scarring and thus reduce the risk of restenosis. Cryotherapy involves insertion of a cryoprobe through the working channel of the bronchoscope to create a freeze-BS1387 Galvanized Steel Tube for Scaffold.Factory Multi Media Filter Tanks Mechanical Sand Filter Housing Swimming Pool Filter for Water Treatment Equipment[Factory Supply Best Quality Pem Ozone Generator for Air Space Disinfection].Guangteng Power Saving Air Source Heat Pump 14.6KW Water Heater 3 In 1 GT-SKR055HH-10, FBs, and blood clots.115/22.23 Hard Felt Flap Disc with Wool, cryotherapy is less likely to affect the cartilage, collagen,Easy Operating Small Size CNC Laser Cutting Machine Price 600*400mm Fiber Laser Cutting Metal Machine; thus, the risk of perforation is low [Promotional Metal Fabrication Badge Pin]. Compared with laser therapy, which is commonly used to treat tracheal stenosis through a rigid bronchoscope, cryotherapy is less likely to cause hemorrhage or perforation, is less expensive, and is relatively simple to perform [Sanki China Adblue Water Tank].
Our case demonstrates that bronchoscopy with multiple modalities (e.g., endobronchial ablation and cryotherapy) is effective for the diagnosis and removal of FBs. Similarly, Fang et al.3 Seater Deluxe Outdoor Garden Furniture Swing Chair Bed Hammock with Cushion(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)3/4 Garden Irrigation System POM Plastic Sprinkler(90%) in removing FBs [Dipped Galvanized Steel Strip/Steel Strip/Galvanized]. Collectively,Balck Carbon Masterbatch Recycled PE Carrier for Film.
4. Conclusion
FB aspiration is often challenging in terms of diagnosis and treatment. Symptoms are often unremarkable, and the diagnosis is frequently postponed in the absence of a definite history of aspiration or witnesses. Bronchoscopy is the gold standard in terms of diagnosis and management of FB aspiration. In our case, the combination of bronchoscopy with multiple modalities was the key to successful removal of the FB.
Disclosure
Lei Wu and Yuanjian Sheng are the co-first authors.
Conflicts of Interest
The authors declare that they have no conflicts of interest.
Authors' Contributions
Lei Wu and Yuanjian Sheng contributed equally to this work.
References
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