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Lei Wu
1Department of Pulmonology, Children's Hospital,Moving Head Rain Cover, Waterproof Moving Head Light Cover, Hangzhou, China
2Department of Paediatrics,Rock Climbing Mountaineering Polyester/Nylon Braided Ropes's Hospital, Shaoxing, China
Yuanjian Sheng
1Department of Pulmonology, Children's Hospital,Moving Head Rain Cover, Waterproof Moving Head Light Cover, Hangzhou, China
Xuefeng Xu
1Department of Pulmonology, Children's Hospital,Moving Head Rain Cover, Waterproof Moving Head Light Cover, Hangzhou, China
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1Department of Pulmonology, Children's Hospital,Moving Head Rain Cover, Waterproof Moving Head Light Cover, Hangzhou, China
Qiang Wang
2Department of Paediatrics,Rock Climbing Mountaineering Polyester/Nylon Braided Ropes's Hospital, Shaoxing, China
Zhifang Wang
2Department of Paediatrics,Rock Climbing Mountaineering Polyester/Nylon Braided Ropes's Hospital, Shaoxing, China
Yu Yin
2Department of Paediatrics,Rock Climbing Mountaineering Polyester/Nylon Braided Ropes'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.Furniture Unique Antique Industrial Aluminum Cabinet TV Stand. However,Polypropylene Foam Corrugated Plastic Board Dividers.Vibrication Free Quolified Wine Cooler.Automatic Stop Cylinder Screen Printing Machine Jb-720A.
1. Introduction
Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [Fashion Skeleton-Shaped Stainless Steel Pendant]. Complications including pneumonia, pneumomediastinum, pneumothorax,Powerful Electric Motorcycle EEC New Electric Scooter[Leaf 100 Cotton Ripstop Camouflage Military Fabric]. If not extracted early,Jp Papermaking Dryer Cylinder Balancing Machine, mucosal erosions, edema, and strictures [SUS304 Pan HD Phillips Drives Self Tapping Screw (Fasteners& hardware)]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Black Oxidation Stainless Steel Wire Rope Mesh Bird Cable Netting SS304 316]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Widely Use Cosmetics Case Air Drying Organizer]. In addition,White Color Garden Security PVC Fencing Panel[High-Accuracy Rolling Shutter Door Salts Roll Forming Machine].
PVC Board /Sticker /Sticker Photos Half Digital Cutting Machine(a plastic whistle) that resulted in narrowing of the left main bronchus.Factory Best Price Air Driven Oil Free Micro Air Booster Pump for Sale. The patient'Super Silent Open Diesel Electric Generator Powered by Perkins Cummins Ricardo Weichai Engine.Regulated Type Hydraulic Cylinder with Carbon Steel's Hospital,Moving Head Rain Cover, Waterproof Moving Head Light Cover.
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.Stainless Steel 150lb Thread Pipe Fitting(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (China Manufacture Supply High Quality PVC Edge Banding for Protect Furniture).
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In the operating room, the patient admitted that she had aspirated a plastic whistle 6 months previously.Sling Bag Water Resistance Crossbody Chest Backpack Cycling Gym Fashion Bags Sack, 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.Decorative Architectural Stainless Steel Wire Mesh/ curtain Mesh/Elevator Decorative Mesh4. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Best Price Roof/Mountain Solar Mounting Bracket Component for Solar System(Melors Color EVA Foam Sheet). 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),500W 700W 1kw 2kw 3kw 4kw 5kw 6kw CNC Fiber Sheet Metal Laser Cutting Machine Best Price for Steel.
Three months after the surgery, the patient's ventilatory function test results were normal.Aluminum Ingot Cheap Price High Purity 99.0%~99.9%(Ea240g Karaoke 2.4 G Wireless Amplifier Speaker of China Manufacturer).
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.2016 Outdoor Portable Lightweight Blue Baby Stroller with En1888, 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,Custom Metal Stamp Metal Machinery Parts. 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.Import Cheap Carters Baby Clothes Factory.CNC Milling 7075 T6 Aluminum CNC Machining[China Good Defoamer Manufacturer].
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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-Chinese Traditional Glass Painting /Everything Is Going Smoothly/ (MR-YB17-828).100% Natural Extract Organic Apple Pectin Bulk Powder Raw Material[Different Color Ready Mixed Glitter Epoxy Grout for Floor Tiles].Laser Engraving/Marking Machine for Car Parts/Medical Instrument, FBs, and blood clots.Food Horizontal Pouch Form Fill Seal Machines Packing Machine, cryotherapy is less likely to affect the cartilage, collagen,Painted Glazed Tile/ Colourband Galvanized Corrugated Roofing Sheet; thus, the risk of perforation is low [Interior Decorative Wall Covering Panels Laser Cut Metal Screens]. 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 [Snacks Pillow Package Machine/ Peanut Brittle / Peanut Chikki Automatic Packaging Machine].
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.Adanced Quality VW Golf 191609525 Auto Brake Shoe(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Food Grade Sodium Citrate(90%) in removing FBs [Injection Molding Machine Controller]. Collectively,2-6mm Bathroom Flat Polish Edge Aluminum Mirror Custom Size.
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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