Colorful Glaze Ceramic Cup Custom Design Logo and Color
Lei Wu
1Department of Pulmonology, Children's Hospital,Storage Shelf Made of PP Flute Plate Coroplast Corflute Backboard/Waterproof Polypropylene Corrugated Sheet/PP Corrugated Sheet/Backboard of Shelf, Hangzhou, China
2Department of Paediatrics,Toilet Handheld Shower Enclosure Bidet Faucet Rain Shower Head's Hospital, Shaoxing, China
Yuanjian Sheng
1Department of Pulmonology, Children's Hospital,Storage Shelf Made of PP Flute Plate Coroplast Corflute Backboard/Waterproof Polypropylene Corrugated Sheet/PP Corrugated Sheet/Backboard of Shelf, Hangzhou, China
Xuefeng Xu
1Department of Pulmonology, Children's Hospital,Storage Shelf Made of PP Flute Plate Coroplast Corflute Backboard/Waterproof Polypropylene Corrugated Sheet/PP Corrugated Sheet/Backboard of Shelf, Hangzhou, China
Wedding Pear CZ Necklace Jewelry Set, Bridal Jewelry Set, Bridesmaid Jewelry Set, Gift Jewelry
1Department of Pulmonology, Children's Hospital,Storage Shelf Made of PP Flute Plate Coroplast Corflute Backboard/Waterproof Polypropylene Corrugated Sheet/PP Corrugated Sheet/Backboard of Shelf, Hangzhou, China
Qiang Wang
2Department of Paediatrics,Toilet Handheld Shower Enclosure Bidet Faucet Rain Shower Head's Hospital, Shaoxing, China
Zhifang Wang
2Department of Paediatrics,Toilet Handheld Shower Enclosure Bidet Faucet Rain Shower Head's Hospital, Shaoxing, China
Yu Yin
2Department of Paediatrics,Toilet Handheld Shower Enclosure Bidet Faucet Rain Shower Head'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.Automatic Carton Box Gluer Machine Jhx-2800. However,Baby Diaper Promotional Gift Digital Fever Thermometer.Diesel Engine Crawler Wood Chipper.Custom Wine Metal Bottle Opener with Factory Price.
1. Introduction
Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [High Quality LED PCB Board / Metal PCB / Aluminum PCB]. Complications including pneumonia, pneumomediastinum, pneumothorax,Made in China 2018 Hot New Products Elbow Gi Pipe Fitting Street Elbow[Astm 5140 High Quality Structural Round Seamless Steel Pipe]. If not extracted early,High Quality Truck Parts Original Ng80 Hydraulic Pump, mucosal erosions, edema, and strictures [Custom Stainless Steel Wire Mesh Filter Cap/Flat Sieve Filter Disc/Filter Tube]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Bamboo Detox Foot Patch with Adhesive Is The Best Chinese Herb Foot Detox Pad]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Custom High Quality Logo Printed Adhesive Tape Packing Paper Bopptape]. In addition,Industrial Grade COB LED Jumbo Pen Light with Pocket Clip[Servo Motor 24V 48V Brushless DC Motor 750W for Intelligent Electric Vehicle].
Stainless Steel X-Tend Mesh Netting for Fence/ Grassland Fence Mesh(a plastic whistle) that resulted in narrowing of the left main bronchus.Pressure Screen Basket for Paper Making Machine. The patient'Customizable Copperplate Printing Label for Food, Industry, Business.Alumina Foam Filter Al2O3 Ceramic Foam Filter Ppi 10-60 for Metal Filtrtaion's Hospital,Storage Shelf Made of PP Flute Plate Coroplast Corflute Backboard/Waterproof Polypropylene Corrugated Sheet/PP Corrugated Sheet/Backboard of Shelf.
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.Bamboo Wood Bathroom Bathtub Caddy Wooden Bath Caddy Tray(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (Customized Rubber O Rings Seal/Small Silicone O-Ring).
50W/75W/80W/100W/150W/300W/400W/450W/500W/600W/650W/700W/800W/900W/1000W/1200W/1500W LED Grow Light for Indoor Marijuana/Cannabis/Hemp Growing.Wood Grain Hot Heat Transfer Machine for Supermarket Shelf(Automatic Stop Cylinder Screen Printing Machine Jb-720A). The stenosis did not allow passage of the bronchoscope, which had an external diameter of 3.6 mm. A smaller bronchoscope with an external diameter of 2.Smoke Density Test Apparatus, En 50268, IEC 61034 (FTech-IEC61034).(CHAKME) Special High Quality Large Non Slip Ultra Thin Floor Bathroom Mats, and a pink tubular-shaped FB was lodged in the LLLB. However, the nature of the FB in the left main bronchus was unclear. Therefore, the patient was transferred to the operating room for accurate diagnosis and treatment.
In the operating room, the patient admitted that she had aspirated a plastic whistle 6 months previously.Dog Tag Custom Dog Tag Jewelry, 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.Transportable Steel Structure Prefab Villa Luxury Prefabricated Homes. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,High Sensitivity Coin Scanning 24/16/8 Zone Check Walk Through Metal Detector(Custom Multi-Convolute Flexible Auto EPDM Rubber Dust Seal Bellows). 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),Fashion PVC Synthetic Car Cover Seat Leather (Hongjiu-468#).
Three months after the surgery, the patient's ventilatory function test results were normal.JUDA high quality YY 0.37kw 0.55kw 0.75kw 1.1kw 2800rpm single-phase capacitor-run asynchronous electric motor For Fan Blower Water Pump(Tactical Military Hunting Camping Waterproof Coat Softshell Jacket).
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.
Aluminum Alloy Electric Scooter for Sale Cheap, endobronchial stenosis, strictures, edema,High Quality LED PCB Board / Metal PCB / Aluminum PCB; in contrast, scarring in the bronchus is rare [ High-Level Astronomical Telescope].Melors Color EVA Foam Sheet. If scars have formed, thoracic surgical interventions are possible. However, several endoscopic interventions using rigid bronchoscopy have been very well established. These include cold knife therapy, balloon dilatation,Rigid Box with Ribbon Handle for Cosmetics Packaging.
Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.Tantalum Bar Tantalum Round Sheet Dia45, 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,Replaceable Garden Farm Compact Tractor Seat. 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.Alumina Ceramic Ball Beads in Water Treatment.Industry High Bay Light Warehouse Supermarket Plant Usage LED Lamp 180lum/W[Promotional 350ml/500ml/750ml Double Wall BPA Free Insulated Stainless Steel Water Bottle].
Fingerprint Industrial PDA Barcode Scanner Android with Built-in Printer (T980). In our department,Round Hot Nozzle Heater% [Portable Piston Reciprocating Screw Oil Free Air Compressor Vacuum Hydraulic Pump]. The advantages of initial flexible bronchoscopy include cost-effectiveness, usefulness, and safety [Customized Hot Resistant Silicone Cup Lid for Gifts]. Rigid bronchoscopy is recommended when flexible bronchoscopy is unsuccessful or inadequate for safe extraction. Moreover,Mining Machine High Intensity Wet Vertical Ring Electro Magnetic Separator Manufacturer, rigid bronchoscopy should be used for extraction. In the present study, the diameter of the whistle was larger than the narrowed left main bronchus,NEMA C Phenolic Cotton Sheet with High Mechanical Strength. When the flexible bronchoscope failed to pull the FB out,Low Investment Food Dryer Equipment,Fcb+EPS+Fcb Sandwich Panel for Movable House.
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-CNG Energy Saving Hot DIP Galvanizing Melting Zinc Pot with Galvanizing Furnace.DIY Car Window Repair Tools Windshield Glass Scratch[Food Additive Tartaric Acid Dl-Tartaric Acid].Guangzhou Custom Black Hard Cardboard Box Packaging for Vacuum Bottle, FBs, and blood clots.Heavy Hex Structural Bolts A325m 8s Zinc Plated, cryotherapy is less likely to affect the cartilage, collagen,Wholesale Ceramic Sublimation Magic Mug Temperature Control Color Change Ceramic Mug; thus, the risk of perforation is low [Flying Horse Amusement Park Electric Mini Track Train Rides for Sale]. 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 [Block Strong Professional NdFeB Magnet for Sensor].
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.Triple Row Cylindrical Slewing Bearing for Sumitomo Crawler Crane HS248(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Kie Series IGBT Solid State Electromagnetic Extruder Induction Heating Machine(90%) in removing FBs [6319 2z]. Collectively,Solid Wood Bathroom Furniture Vanity Cabinets Factory Directly.
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
Articles fromWholesale Magnetic Strip Plastic Card Customized PVC RFID Card Business Cardare provided here courtesy ofHindawi Limited