小结
定义
Foreign body aspiration is the inhalation of a foreign body into the larynx and respiratory tract.[1][Figure caption and citation for the preceding image starts]: Loquat seed completely occluding the bronchus intermediusFrom the collection of Dr Septimiu Murgu and Dr Henri Colt; used with permission [Citation ends].
病史和体格检查
关键诊断因素
- choking crisis
- unilateral decreased breath sounds
- unilateral wheezing
其他诊断因素
- intractable cough
- fever
- dyspnea
- bilateral wheezing
危险因素
- decreased level of consciousness (Glasgow coma score <9)
- age <4 years
- age >70 years
- bulbar dysfunction
- male sex
- cerebrovascular disease
- dementia
诊断性检查
首要检查
- chest x-ray
需考虑的检查
- CT chest
- bronchoscopy
新兴检查
- ultrasound lung
治疗流程
conscious
unconscious
撰稿人
作者
Arjun B. Chatterjee, MD, MS, FACP, FCCP, FAASM
Professor of Medicine
Section on Pulmonary, Critical Care, Allergy, and Immunologic Disease
Wake Forest University School of Medicine
Winston-Salem
NC
利益声明
ABC declares that he has no competing interests.
鸣谢
Dr Arjun B. Chatterjee would like to gratefully acknowledge Dr Septimiu Murgu and Dr Henri Colt, the previous contributors to this topic. SM and HC declare that they have no competing interests.
同行评议者
Amber Young, BSc, MB ChB, FRCA
Consultant Paediatric Anaesthetist
Department of Anaesthesia
Frenchay Hospital
Bristol
UK
利益声明
AY declares that she has no competing interests.
Momen M. Wahidi, MD, MBA
Professor of Medicine
Pulmonary and Critical Care
Feinberg School of Medicine
Northwestern University
Chicago
IL
利益声明
MMW declares that he has no competing interests.
Pyng Lee, MD
Senior Consultant
Department of Respiratory and Critical Care Medicine
Singapore General Hospital
Singapore
利益声明
PL declares that he has no competing interests.
Prashant Mahajan, MD, MPH, MBA
Professor of Emergency Medicine and Pediatrics
Vice-Chair
Department of Emergency Medicine
Chief
Pediatric Emergency Medicine
C S Mott Children's Hospital and University of Michigan Medical School
Ann Arbor
MI
利益声明
PM declares that he has no competing interests.
Karima Lelak, MD
Clinical Assistant Professor
Department of Emergency Medicine and the Department of Pediatrics
C.S. Mott Children's Hospital
University of Michigan
Ann Arbor
MI
利益声明
KL declares that she has no competing interests.
Peer reviewer acknowledgements
BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.
Disclosures
Peer reviewer affiliations and disclosures pertain to the time of the review.
参考文献
关键文献
Boyd M, Chatterjee A, Chiles C, et al. Tracheobronchial foreign body aspiration in adults. South Med J. 2009 Feb;102(2):171-4. 摘要
Faro A, Wood RE, Schechter MS, et al. Official American Thoracic Society technical standards: flexible airway endoscopy in children. Am J Respir Crit Care Med. 2015 May 1;191(9):1066-80.全文 摘要
Hewlett JC, Rickman OB, Lentz RJ, et al. Foreign body aspiration in adult airways: therapeutic approach. J Thorac Dis. 2017 Sep;9(9):3398-409.全文 摘要
Perkins GD, Graesner JT, Semeraro F, et al. European Resuscitation Council Guidelines 2021: executive summary. Resuscitation. 2021 Apr;161:1-60. 摘要
参考文献
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
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Stridor
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