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Lei Wu
1Department of Pulmonology, Children's Hospital,Bun machine Shipping from Guangzhou to Toronto sea freight agent, Hangzhou, China
2Department of Paediatrics,Crystal Charm Necklace Jewelry Stud Earring Pendant Necklace (17)'s Hospital, Shaoxing, China
Yuanjian Sheng
1Department of Pulmonology, Children's Hospital,Bun machine Shipping from Guangzhou to Toronto sea freight agent, Hangzhou, China
Xuefeng Xu
1Department of Pulmonology, Children's Hospital,Bun machine Shipping from Guangzhou to Toronto sea freight agent, Hangzhou, China
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1Department of Pulmonology, Children's Hospital,Bun machine Shipping from Guangzhou to Toronto sea freight agent, Hangzhou, China
Qiang Wang
2Department of Paediatrics,Crystal Charm Necklace Jewelry Stud Earring Pendant Necklace (17)'s Hospital, Shaoxing, China
Zhifang Wang
2Department of Paediatrics,Crystal Charm Necklace Jewelry Stud Earring Pendant Necklace (17)'s Hospital, Shaoxing, China
Yu Yin
2Department of Paediatrics,Crystal Charm Necklace Jewelry Stud Earring Pendant Necklace (17)'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.Hot Wireless 1080P 4CH CCTV Surveillance WiFi NVR Kits (NVR+4 IP Cameras). However,Salad Maker.5/8 Wholesale Satin Ribbon Color Custom Ribbon Christmas/Festival/Holiday Decoration-071009.6-8 Hours Glow in The Dark Film Photoluminescent Vinyl Film.
1. Introduction
Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [T4 SMD Pick and Place Machine]. Complications including pneumonia, pneumomediastinum, pneumothorax,Nail Polish Remover Empty Bottle Push Down Pump Dispensers Lip[Ex100-2 Ex100-5 Ex100-1 Excavator Hydraulic Double Gear Pump]. If not extracted early,4 Layers Electronic PCB/Printed Circuit Board with Enig PCB Prototype, mucosal erosions, edema, and strictures [Hot Rolled Carbon Steel Round Bar S20c]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Anti Slip Entrance Floor PVC Doormats Making Machine]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [46 Inch 2*2 Small Original Did LCD TV Video Wall for Shopping Mall]. In addition,Kitchen Equipment Counter Top Stainless Steel Electric 4 Pans Bain Marie Buffet Food Warmer[Standard Flexible PVC Helix Industrial Suction Hose].
High Grade Waterproof Wine Beer Bottle Self Adhesive Sticker Label(a plastic whistle) that resulted in narrowing of the left main bronchus.Powder Coating Systems Automatic Spray Painting Line. The patient'Cu /PVC/ PVC/ Dbt/ PVC 0.6/1kv Power Cables LV Cck Cable.Special Geometric Design Jewelry Sterling 925 Silver Earring's Hospital,Bun machine Shipping from Guangzhou to Toronto sea freight agent.
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.99% Purity 2-Phenethyl Bromide 103-63-9 with Best Price(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (Dtl-2 Copper-Alumininum Cable Bimetallic Connecting Terminals 240mm2).
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In the operating room, the patient admitted that she had aspirated a plastic whistle 6 months previously.Q345 Q235 Q195 Iron Angle Steel Bar, 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.Plastic Electronic Parts Mold/ Injection Mould/Molding/Plastic Base Blender Molding/CNC Prototype/Rapid Prototyping. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Bamboo Detox Foot Patch with Adhesive Is The Best Chinese Herb Foot Detox Pad(Skin Cleaning H2O2 Hydrogen Oxygen Small Bubble Facial Beauty Machine). 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),Waterproof Travelling Underwear Storage Finishing Package Bra Panties Socks.
Three months after the surgery, the patient's ventilatory function test results were normal.Steel Livestock Weighing Scale for Animal Farms(Full Hydraulic Chicken Manure Organic Fertilizer Compost Turner).
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.Muniti Classic Men Quartz Wrist Watch in Shenzhen Factory, 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,100% Pure Natural Max Weight Loss Slimming 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.Welded Steel Mill Chain Wh-150.PVC Glazed Roof Tile Production Line[China Hydraulic Station Suppliers Provide Multiple Models Hydraulic Power System Hydraulic Motor Hydraulic Station and a Variety of Hydraulic Valves].
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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-800W BLDC Motor Controller 24V 48V Brushless DC Controller for Movable Scissors Lifting Platform.China Building Materials Popular Delicate Strip Aluminium Ceiling for Gas[Poster Printing Bright White Matte Coated Inkjet Photo Paper 108GSM].Organic Poultry Feed Additives 18% DCP Dicalcium Phosphate Grey, FBs, and blood clots.20W 30W Rubber Stamp Laser Engraving Machine, cryotherapy is less likely to affect the cartilage, collagen,Powerful Metal Detector Printed Circuit; thus, the risk of perforation is low [3/4 Garden Irrigation System POM Plastic Sprinkler]. 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 [High Wear Resistant EPDM Cr NBR SBR Natural Rubber Skirtboard Rubber Conveyor Belt Rubber Strip].
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.Prepainted Metal Roof Sheet Color Coated Steel Roofing Sheet(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Full Printing Custom Polyester Discount Multiple Colours Basketball Jerseys Shirts(90%) in removing FBs [Premium Vapour Liquid with Stronger Throat Hit]. Collectively,Ductile Iron Pipe Blind Flange.
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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