CT before surgery
Red Net Moment December 24 news (correspondent Zhang Zhuochao Gong Xiaohua) Recently, the Department of Otorhinolaryngology, Head and Neck Surgery of Yongzhou Central Hospital successfully removed a case of adult tracheal giant foreign body. The successful development of this operation fully reflects the excellent comprehensive medical strength of Yongzhou Central Hospital in the rescue of acute and critical diseases.
The 74-year-old Uncle Yu felt that there was a foreign body in the throat when eating, which was very uncomfortable, so he decided to forcibly swallow the foreign body into the stomach. During the swallowing process, the old man suddenly had a severe cough, difficulty breathing, cyanosis in his lips, and unconsciousness, and was immediately sent to the local hospital for treatment. Ct examination revealed a tracheal foreign body, about 18mm * 12mm in size (adult tracheal size is about 15-20mm), the situation is very critical, the local hospital immediately sent ambulances to send the elderly to Yongzhou Central Hospital.
After receiving the department of otolaryngology, head and neck surgery in the central hospital, it immediately organized consultations in respiratory medicine, anesthesia department, and operating room. Considering that the size of the foreign body is similar to the trachea, the surgical space is very narrow, especially the glottis position is more narrow, if the foreign body cannot pass through the glottis or is embedded in the glottis when the foreign body is removed, it will cause the patient to be in a state of hypoxia for a long time, endangering the patient's life. After discussion, the treatment team finally decided to undergo a rigid bronchoscopic tracheal foreign body removal under intravenous anesthesia.
Removed foreign body
The treatment team immediately made preoperative preparations, introduced a rigid bronchoscope through the mouth, entered the trachea, and saw a foreign body incarceration at the tracheal protrusion, blocking the trachea by nearly 90%. Adjust the tracheoscopic orientation, clamp the foreign body with esophageal foreign body clamps, exit with the rigid bronchoscope, reach the glottis, the operator holds his breath, carefully, adjusts the foreign body orientation many times, and finally passes through the glottis area completely, and successfully removes a 20*18mm*12mm duck bone, and the operation takes only 1 minute. The next day's follow-up CT has no obvious foreign bodies, and the patient recovered well after surgery and was successfully discharged from the hospital.
Zheng Pengling, director of the Department of Otolaryngology, Head and Neck Surgery, introduced that tracheal foreign bodies usually refer to foreign substances entering the trachea or bronchi, and the trachea is the channel for breathing, if the foreign body is larger and blocks the trachea, the patient can die of asphyxia within a few minutes. Tracheal foreign body is a more dangerous type of organ entry into the foreign body, but also one of the common emergencies in otolaryngology, generally in children or elderly people with slow throat response in old age, such as this artificial swallowing caused by very rare. Here to remind the general public friends, if there is a foreign body incarceration, should be timely medical treatment, do not take other methods to forcibly swallow the foreign body into the stomach, bring greater trauma.