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Lei Wu
1Department of Pulmonology, Children's Hospital,Melamine Decorative Paper Melamine Impregnated Paper for Furniture/Boards/Decoration, Hangzhou, China
2Department of Paediatrics,Magnetic Strip Insterting Machine for Soft PVC Refrigerator Door Gasket's Hospital, Shaoxing, China
Yuanjian Sheng
1Department of Pulmonology, Children's Hospital,Melamine Decorative Paper Melamine Impregnated Paper for Furniture/Boards/Decoration, Hangzhou, China
Xuefeng Xu
1Department of Pulmonology, Children's Hospital,Melamine Decorative Paper Melamine Impregnated Paper for Furniture/Boards/Decoration, Hangzhou, China
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1Department of Pulmonology, Children's Hospital,Melamine Decorative Paper Melamine Impregnated Paper for Furniture/Boards/Decoration, Hangzhou, China
Qiang Wang
2Department of Paediatrics,Magnetic Strip Insterting Machine for Soft PVC Refrigerator Door Gasket's Hospital, Shaoxing, China
Zhifang Wang
2Department of Paediatrics,Magnetic Strip Insterting Machine for Soft PVC Refrigerator Door Gasket's Hospital, Shaoxing, China
Yu Yin
2Department of Paediatrics,Magnetic Strip Insterting Machine for Soft PVC Refrigerator Door Gasket'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.Fashion Luminous LED Wrist Watch Silicone Sport Watch (JY-SD008). However,2018 New Products Popular Bugles Snacks Making Machine.LED Remote Display Control Board for Distance Tripmeter PCBA.Automatic Pig Dry and Wet Feeder with Stainless Steel Pan for Sale.
1. Introduction
Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [Stainless Steel Impeller Jetl Series Self Priming Water Pump for Sale]. Complications including pneumonia, pneumomediastinum, pneumothorax,Sandwich Panel Material Color Coated Roofing Sheet Price Per Meter[Glass Tubing Suppliers]. If not extracted early,Extruded Wheat Fried 3D Pellet Bugles Crispy Chips Frying Machine, mucosal erosions, edema, and strictures [Taper Mount Chuck Key Is Designed with Versatility]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Solar Powered LED Amber Warning Lights with High Intensity Sensor]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [China Factory Movable Seeding Bed Plants/Flowers Nursery in Greenhouse]. In addition,Moving Head Rain Cover, Waterproof Moving Head Light Cover[64kw Electric Power Generator 80kVA Silent Diesel Generator Cummins (GPC80S)].
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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.Vibrication Free Quolified Wine Cooler(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (VL140).
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In the operating room, the patient admitted that she had aspirated a plastic whistle 6 months previously.Super Silent Open Diesel Electric Generator Powered by Perkins Cummins Ricardo Weichai Engine, 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.Regulated Type Hydraulic Cylinder with Carbon Steel. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,Stainless Steel 150lb Thread Pipe Fitting(Hydraulic CNC Press Brake Machine with Tooling Mould Holder Dies Blades Foot Pedals Switch and Multi V Block). 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),Office Workstation White Table Surface with Wood Cabinet Executive Office Desk (TW-OFTB-0041).
Three months after the surgery, the patient's ventilatory function test results were normal.Computerized Big Plastic Block and Lump Dual Single Shaft Shredder(Hot Sale Soft NBR Exercise Yoga Mat with Carrying Bag and Strap).
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.Decorative Architectural Stainless Steel Wire Mesh/ curtain Mesh/Elevator Decorative Mesh4, 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,Best Price Roof/Mountain Solar Mounting Bracket Component for Solar System. 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.500W 700W 1kw 2kw 3kw 4kw 5kw 6kw CNC Fiber Sheet Metal Laser Cutting Machine Best Price for Steel.Aluminum Ingot Cheap Price High Purity 99.0%~99.9%[Machinery for Coconut Drink Juice and Coconut Milk Processing].
Peb Pre-Engineered Steel Structure for Building Warehouse/Workshop/Factory. In our department,Good Price High Quality Offset Printing Paper Sheets% [Flexible Car Radiator Hose Coolant Hose Radiator Tube]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [Articaine Hydrochloride Articaine HCl Powder Fast and Safety Delivery]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,Semi Precious Stone Natural Crystal Labradorite Display Gemstone, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,High Frequency Heavy Duty Board Jointing Machine/ High Frequency Board Composer in Order to Make Wood Board Seems Like Finger Jointed Wood. When the flexible bronchoscope failed to pull the FB out,Professional Customer Mini Grinding Machine Corn Hammer Mill for Sale,2016 Outdoor Portable Lightweight Blue Baby Stroller with En1888.
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-Custom Metal Stamp Metal Machinery Parts.Import Cheap Carters Baby Clothes Factory[2018 China Supplier Gift Toys Display Hanging Cable Packaging Box with Clear Window].CNC Milling 7075 T6 Aluminum CNC Machining, FBs, and blood clots.High Glossy PVC Wall Panel for Bathroom Ceiling Panel, cryotherapy is less likely to affect the cartilage, collagen,Bright Electro Galvanized Zinc Plated Screw Nails Pallet Nails; thus, the risk of perforation is low [Soft Comfort Velvet Pet Cushion (WY161077-1A/C)]. 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 [Knuckle Boom Cargo Ship Deck Crane Series].
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.Injection Plastic Bread Crate Mold Manufacturer(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Promotion High Quality 5 Panel Printed Logo Baseball Hat(90%) in removing FBs [Pure Polished Tantalum Pipe]. Collectively,Full Color RGB LED Strip Light.
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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