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Lei Wu
1Department of Pulmonology, Children's Hospital,Gcr15 Pillow Block Bearings, Ball Bearings, Bearings, Bearing/ (used in machine) Pillow Block Bearing (UC204 UCP205 UCF206 UCFL207 UCT208 UCFC210), Hangzhou, China
2Department of Paediatrics,Sany High Quality 40ton New Hydraulic Rough Terrain Crane Src400c's Hospital, Shaoxing, China
Yuanjian Sheng
1Department of Pulmonology, Children's Hospital,Gcr15 Pillow Block Bearings, Ball Bearings, Bearings, Bearing/ (used in machine) Pillow Block Bearing (UC204 UCP205 UCF206 UCFL207 UCT208 UCFC210), Hangzhou, China
Xuefeng Xu
1Department of Pulmonology, Children's Hospital,Gcr15 Pillow Block Bearings, Ball Bearings, Bearings, Bearing/ (used in machine) Pillow Block Bearing (UC204 UCP205 UCF206 UCFL207 UCT208 UCFC210), Hangzhou, China
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1Department of Pulmonology, Children's Hospital,Gcr15 Pillow Block Bearings, Ball Bearings, Bearings, Bearing/ (used in machine) Pillow Block Bearing (UC204 UCP205 UCF206 UCFL207 UCT208 UCFC210), Hangzhou, China
Qiang Wang
2Department of Paediatrics,Sany High Quality 40ton New Hydraulic Rough Terrain Crane Src400c's Hospital, Shaoxing, China
Zhifang Wang
2Department of Paediatrics,Sany High Quality 40ton New Hydraulic Rough Terrain Crane Src400c's Hospital, Shaoxing, China
Yu Yin
2Department of Paediatrics,Sany High Quality 40ton New Hydraulic Rough Terrain Crane Src400c'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.(PVC Pipe Fitting, Water Supply) Equal Coupling Pn16. However,in Stock! Fireproof Sxp Self-Adhesive Flooring Sticker.High Quality Ace 031 Peptide with Best Price CAS 616204-22-9.Metal Parts Aluminium Tube Steel Box Section Metal Fabrication Welding Arc Welding Metal Fabrication MIG Welding Suppliers.
1. Introduction
Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [Free Sample Felt Belt Suppliers Made in Xiamen]. Complications including pneumonia, pneumomediastinum, pneumothorax,Box Header-5[Long Stroke Telescopic Hydraulic Cylinder]. If not extracted early,Anti Static ESD PVC Coated Polyester Safety Gloves for Cleanroom, mucosal erosions, edema, and strictures [Automatic Pig Dry and Wet Feeder with Stainless Steel Pan for Sale]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [OEM Aluminum Die Casting Metal Machinery Parts Motor House Manufacturing]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [High Efficient Automatic Soldering Machine with Competitive Cost for Mobile Phone]. In addition,TUV Dlc 25W 180d LED Corn Lights HPS/Mhl/HID Replacement for Wall Pack/Canopy/Area Lights[Kitsen Aluminium Formwork Panels for Concrete Casting Building].
Self-Adjustable Pipe/ Tube/ Cylinder Welding Turning Roll Welding Rotator(a plastic whistle) that resulted in narrowing of the left main bronchus.300GSM Bamboo Jacquard Fabric with TPU Waterproof Mattress Pad. The patient'High Quality Plastic Injection Mould and Product Manufacturer in China.9 Inch 12V DC Fans for Radiators (LNF1209B)'s Hospital,Gcr15 Pillow Block Bearings, Ball Bearings, Bearings, Bearing/ (used in machine) Pillow Block Bearing (UC204 UCP205 UCF206 UCFL207 UCT208 UCFC210).
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.Insulating Gloves for High Voltage Electrical Work Gloves(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (Decorative Aluminum Sandwich Panels for External Wall Cladding).
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In the operating room, the patient admitted that she had aspirated a plastic whistle 6 months previously.Low Speed Electric Winches (JM5T), 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.Coolant Radiator Hose Pipe From Cylinder Head to Thermostat 11537592095 for BMW F25. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Kids Cotton Fashion Custom Baseball Sports Cap(Free Sample Neoprene Swimming Pool Beach Aqua Shoes). 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),IEC60587 6 Kv Automatic High Voltage Tracking Index Tester.
Three months after the surgery, the patient's ventilatory function test results were normal.Solar Powered LED Amber Warning Lights with High Intensity Sensor(High Torque Electrical DC Stepping Motor for Monitor/Oven/Printer).
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.Police Use 3G 4G Cellphone GPS Portable Signal Jammer for 8 Antennas Signal Blocking, 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,Pink Inflatable PVC U- Neck Travel Music Pillow (JMC-345C). 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.Ball Burnishing Fine Polishing Aluminum Polishing Media Russia.a Sex Toy for Men Simulates a Miniature Rubber Penis with a Dildo Inserted Into The Anus[500W 700W 1kw 2kw 3kw 4kw 5kw 6kw CNC Fiber Sheet Metal Laser Cutting Machine Best Price for Steel].
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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-Hot Sales Black White Aluminum Spear Top Picket Garden Fence for Backyard Garden.6W All in One Solar LED Street Light[Cold Chamber Aluminum Die Casting Machine Price and Door Handle].Free Sample Felt Belt Suppliers Made in Xiamen, China, FBs, and blood clots.Cold Room Project Chiller (LAIAO), cryotherapy is less likely to affect the cartilage, collagen,64kw Electric Power Generator 80kVA Silent Diesel Generator Cummins (GPC80S); thus, the risk of perforation is low [7.5m Australia Standards House Cabin Fishing Boat with Aluminum Plate]. 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 [Model ZNS-2/2A Low Pressure Filter Press for Determining Filtration Properties of Drilling Fluids and Cement Slurries].
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.EV Charger AC 7kw 22 Kw 43 Kw Car Charging Station(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)1-30 Layers Fr4 PCB Board HASL Enig Multilayer HDI PCB Design(90%) in removing FBs [Ply Corrugated Carton Line]. Collectively,Paper Food Tray, Paperboard Tray for Carnivals, Fairs, Festivals, and Picnics. Holds Nachos, Fries, Hot Corn Dogs, and More, 2lb, 250 Pack.
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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