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目的:探讨特殊类型气管支气管异物手术取出的有效方法。方法:针对不同的异物,研制和借用一些特殊器械,采用多种不同的治疗方法,取出特殊类型气管支气管异物61例,分析各类特殊类型气管支气管异物手术特点。结果:61例患者支气管异物分别使用异物钩(31例)、笔帽螺丝取出器(11例)、异物网(13例)、特制微抱式三爪倒齿异物钳(3例)、细倒齿式食管异物钳(3例)等均顺利取出。无明显并发症,无死亡病例。除已行气管切开的5例外,其他患者未行气管切开。结论:根据各类特殊类型异物特点和患者的情况设计相应的器械和选择适宜的手术方法是保证治疗成功的关键。
Objective: To explore the effective method of special removal of tracheobronchial foreign bodies. Methods: According to different foreign bodies, some special instruments were developed and borrowed. A variety of different treatment methods were used to remove 61 cases of special types of tracheobronchial foreign bodies and analyze the operation characteristics of various types of tracheobronchial foreign bodies. Results: Sixty-one patients had bronchial foreign body hooks (31 cases), cap screw extractor (11 cases), foreign body net (13 cases), special micro-embossed three-claw inverted tooth foreign body forceps Esophageal foreign body forceps (3 cases) were removed smoothly. No obvious complications, no deaths. Except tracheotomy in 5 cases, other patients did not undergo tracheotomy. Conclusion: According to the characteristics of various types of foreign body and the patients’ situation, designing the appropriate instruments and choosing appropriate surgical methods are the keys to ensure the success of the treatment.