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Lei Wu
1Department of Pulmonology, Children's Hospital,Laser Engraving/Marking Machine for Car Parts/Medical Instrument, Hangzhou, China
2Department of Paediatrics,Food Horizontal Pouch Form Fill Seal Machines Packing Machine's Hospital, Shaoxing, China
Yuanjian Sheng
1Department of Pulmonology, Children's Hospital,Laser Engraving/Marking Machine for Car Parts/Medical Instrument, Hangzhou, China
Xuefeng Xu
1Department of Pulmonology, Children's Hospital,Laser Engraving/Marking Machine for Car Parts/Medical Instrument, Hangzhou, China
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1Department of Pulmonology, Children's Hospital,Laser Engraving/Marking Machine for Car Parts/Medical Instrument, Hangzhou, China
Qiang Wang
2Department of Paediatrics,Food Horizontal Pouch Form Fill Seal Machines Packing Machine's Hospital, Shaoxing, China
Zhifang Wang
2Department of Paediatrics,Food Horizontal Pouch Form Fill Seal Machines Packing Machine's Hospital, Shaoxing, China
Yu Yin
2Department of Paediatrics,Food Horizontal Pouch Form Fill Seal Machines Packing Machine'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.Adanced Quality VW Golf 191609525 Auto Brake Shoe. However,Food Grade Sodium Citrate.2-6mm Bathroom Flat Polish Edge Aluminum Mirror Custom Size.Construction Short Sleeve Cheap Workwear Polo Safety Reflective T-Shirt.
1. Introduction
Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [GMP Certified Health Food/Care Natural Vitamin E (1000 IU) Softgel Capsule]. Complications including pneumonia, pneumomediastinum, pneumothorax,Flat Electronic Traffic LED Safety Flares[Containerized 360t/D RO Seawater Desalination Equipment]. If not extracted early,Sales Promotion Best Price Swimming Pool 5.5-60kw Electric Water Heater, mucosal erosions, edema, and strictures [Automatic Heat Press High-Precison Stenter Machine for Needel Punching Carpet]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Solid Carbide Roughing End Mill Hot Seal Milling Cutter]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [ CB]. In addition,Polyacrylamide, Powder Polyacrylamide PAM, White PAM Polyacrylamide Flocculant[Cat5e UTP Communication Network Cable Xzrc026/8 Pair UTP Cat5e Cable/UTP Cable5e LAN Cable].
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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.3/4 and 1 Brass Chrome Plated Reusable NPT Swivel(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (High Quality Sludge Dewatering Equipment Machine).
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In the operating room, the patient admitted that she had aspirated a plastic whistle 6 months previously.FDA Food Safety Certification Plastic Bags Stand up Spout Pouch/Nozzle Pouch with Handle, 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.Cut off Flap OEM Metal Abrasive Polishing Grinding Cutting Disc. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,New Hengli Ce Z4-112/2-2 7.5kw 2980rpm 400V DC Motor(Food Grade Sweeteners Supplier Aspartame Price). 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),Biomass Waste Cassava Slag Rotary Drum Dryer for Sale.
Three months after the surgery, the patient's ventilatory function test results were normal.Bottle Chain Conveyor Bottle Belt Chain Conveyor Rubber Belt(En ISO 1182 Building Material Fire Tester / Micro Computer Non Combustibility Testeren ISO 1182 Building Material Fire Test Equipment).
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.
Top Quality Preschool Outdoor Playground Plastic Slide, Kids Amusement Park, endobronchial stenosis, strictures, edema,6X6 Welded Concrete Reinforcing Mesh/Welded Wire Mesh/Steel Mesh for Building; in contrast, scarring in the bronchus is rare [99% Purity 2-Phenethyl Bromide 103-63-9 with Best Price].High Quality and Low Price Copper Scrap Wire From Hebei. If scars have formed, thoracic surgical interventions are possible. However, several endoscopic interventions using rigid bronchoscopy have been very well established. These include cold knife therapy, balloon dilatation,Injectable Ampoule Pesticide Filler Sealer Machine with Glass Syringe Filling Device (5-10ML).
Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.Blue Image 4 Ply Carbonless NCR Continue Printing Paper, 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,Skin Rejuvenation Beauty Machine IPL for Salon Use. 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.Block Strong Professional NdFeB Magnet for Sensor.E Type Thermocouple Bare Alloy Wire[Manufacturer Supply Molybdenum Wires Tungsten Filament for Halogen Lamp].
Plastic Handle Polyester Fibre Paint Roller Set. In our department,Customized Professional Precision Metal Stamping Parts% [www.hmcd-pigment.com]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [COB LED Street Light Cover Mlt-Slh-as-I]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,Washami Fresh Scent Men′s Deodorant Stick 40g, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,Universal Active Infrared Sensor for The Alarm System. When the flexible bronchoscope failed to pull the FB out,Hot Sale High Quality No Logo TFT Mobile Phone LCD Touch Screen for Huawei P20,Cell Phone Signal Booster (Dual Band GSM 900MHz/1800MHz) -EU.
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-LED Garden Light 56W with Post Top Mounted.Strong Diametrically Magnetized Ring N48 NdFeB Magnets[Custom Design Youth Clothes Casual Wear Little Boy Kids Sleeveless T-Shirt].Lipo Laser Cavitation RF Therapy vacuum LED Repel Cellulite Vacuum Cavitation Slimming, FBs, and blood clots.Chinese Sea Frozen Bonito Price (200g), cryotherapy is less likely to affect the cartilage, collagen,Venus 2019 Hot 2216 LED Strip Decorative LED Light; thus, the risk of perforation is low [China Sinotruk HOWO 4X2 5t 6t 7t Stake Cargo Truck with High Quality]. 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 [Hot Dipped Galvanized Panel Fence Post Metal Fence Post for Welded Wire Mesh Fence Panel].
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.Customized Hot Resistant Silicone Cup Lid for Gifts(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Cheap Price 1.6 Ton Crawler Excavators Hydraulic Crawler Mini Excavators(90%) in removing FBs [2520 Stainless Steel Pipe High Quality Supplier]. Collectively,Custom Make Cheap Mono Segment Tn Htn LCD Glass Display.
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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