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病例:男性,4岁。1990年8月2日晨吃西红柿时由鼻腔流出白色泡沫,唇发绀,面色黄白,持续约10分钟自行缓解。但患儿表现无力状。当日先后到某乡村医院及某市医院急诊,均诊断“支气管异物”。因无医疗条件转到某大医院专科就诊。体温38℃,精神不振,双瞳孔直径2mm。X 线胸透心肺正常,未见阻塞性肺气肿及纵隔摆动。呼气位及吸气位胸片见右肺纹理模糊,未见其他异常,仍诊为“支气管异物”。立即于全麻下行支气管异物取出术,术中见右支气管内有大量脓性痰,未见异物。术后随即请儿科会诊(全麻后两小时),查体:神志不清,血压:13.3/8KPa(100/60mmHg)。
Case: Male, 4 years old. August 2, 1990 morning when eating tomatoes from the nose out of white foam, cyanotic lips, looking yellowish white, continued for about 10 minutes to ease. However, children with weakness. The same day to a village hospital and a city hospital emergency, are diagnosed with “bronchial foreign body.” Because no medical conditions to a large hospital specialist treatment. Body temperature 38 ℃, lack of energy, double pupil diameter 2mm. X-ray thoracic cardiopulmonary normal, no obstructive emphysema and mediastinal swing. Breathing position and inspiratory chest radiographs see the right lung blurred, no other abnormalities, is still diagnosed as “bronchial foreign body.” Immediately under general anesthesia removal of bronchial foreign body surgery, see a large number of purulent sputum surgery within the right bronchus, no foreign body. Pediatric consultation immediately after surgery (two hours after general anesthesia), physical examination: confusion, blood pressure: 13.3 / 8KPa (100 / 60mmHg).