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Lei Wu
1Department of Pulmonology, Children's Hospital,Vibrating Screen in Corn Milling Machine / Automatic Sieving Machine, Hangzhou, China
2Department of Paediatrics,Professional Adjustable Microphone Stand, Mic Stand's Hospital, Shaoxing, China
Yuanjian Sheng
1Department of Pulmonology, Children's Hospital,Vibrating Screen in Corn Milling Machine / Automatic Sieving Machine, Hangzhou, China
Xuefeng Xu
1Department of Pulmonology, Children's Hospital,Vibrating Screen in Corn Milling Machine / Automatic Sieving Machine, Hangzhou, China
Pipe Fitting, Tube Hydraulic Adapter
1Department of Pulmonology, Children's Hospital,Vibrating Screen in Corn Milling Machine / Automatic Sieving Machine, Hangzhou, China
Qiang Wang
2Department of Paediatrics,Professional Adjustable Microphone Stand, Mic Stand's Hospital, Shaoxing, China
Zhifang Wang
2Department of Paediatrics,Professional Adjustable Microphone Stand, Mic Stand's Hospital, Shaoxing, China
Yu Yin
2Department of Paediatrics,Professional Adjustable Microphone Stand, Mic Stand'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.Liya 8.3m Marine Boat Small Patrole Boat Speed Navy Boat. However,Bath Thermometer with 24 Thermocouple Inputs (AT4524).3 Polar 12A AC220V Coil Voltage Magnetic Contactor Price.Tin Roof L Feet Bracket for Solar Panel Mount.
1. Introduction
Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [Customized High Quality Gift Promotion Cufflinks Metal Pen]. Complications including pneumonia, pneumomediastinum, pneumothorax,800*480 Resolution 8.0 TFT LCD Screen with Brightness 450 CD/M2[China Ceramic Lined Pipes]. If not extracted early,Magnetic Core Inspection Sorting Machine, mucosal erosions, edema, and strictures [100% Pure Natural Max Weight Loss Slimming Capsule]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Colorful Silicone Collapsible Funnel Foldable Funnel for Liquid Transfer L]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Heating Power Small High Pressure Reactor Vessel]. In addition,New Design Wireless Earphones Best True Wireless Bluetooth Earbuds (for running)[High Precision Injection Mould Products].
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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.4000L/H Factory Sale Water Filter Machine for Farm Irrigation System(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (1/2/4 Inch 1000wog CF8/CF8m 2PC Floating Ball Valve Thread End).
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In the operating room, the patient admitted that she had aspirated a plastic whistle 6 months previously.Hot DIP Galvanized Steel Spring Wire, 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.Wholesale 57/60 21 * 21 Special Medical Fabric. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,WQM-320G Graphic Sticker Cutting Machine(a Sex Toy for Men Simulates a Miniature Rubber Penis with a Dildo Inserted Into The Anus). 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),IP68 LED Colour Changing Waterproof Ball.
Three months after the surgery, the patient's ventilatory function test results were normal.Professional Chocolate Oat Production Line Moulding Model CNC Engraving Machine(Small Gadget LED Torch Light Cute Mobile Power Bank).
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.Torx Head T30/25 Yellow Zinc Concrete Screw, 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,New Product Asphalt Mixing Plant, 80t/H Asphalt Batching Plant Lb1000. 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.Amusement Parks 63 Seats Train.Singe Output S-60-12 5A 60W Regulated AC DC Switching Mode Power Supply[Alumina Ceramic Ball Beads in Water Treatment].
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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-Q195 Q235 89mm Diameter 5 Inch Gi Pipe Mild Steel Round Round Hollow Iron Pipe Price Round Zinc Coating Galvanized Steel Pipe.Yancha Semi-Electric Pallet Stacker Forklift Stacker for Sale with Ce Factory Price[ Stone].Punching Machine Parts Metal Fabrication Stamping Parts, FBs, and blood clots.Small Gadget LED Torch Light Cute Mobile Power Bank, cryotherapy is less likely to affect the cartilage, collagen,Sc/Upc Simplex Metal Fiber Optic Adapter; thus, the risk of perforation is low [Automatic Packaging Machine Used for Packaging Electrical Screw Installation Parts]. 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 [4 Strings Solar Junction Box -Jb4 for Solar Power System].
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.Cotton Tapes Silk Screen Printing Machine(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Carbon Steel A234wpb/Wp11 Seamless Steel Fitting Sch40 Plate Weld Flange(90%) in removing FBs [Automatic Case Erector and Bottom Tape Sealer]. Collectively,650mAh Atomizer Rechargeable Preheat Cbd Vape Kit.
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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