The severity depends on the nature of the foreign body and the degree of airway obstruction caused, which can cause lung damage in mild cases and death by asphyxiation in severe cases. Foreign bodies can be of endogenous or exogenous origin. Endogenous foreign bodies are pseudomembranes, dried crusts, blood clots, pus, vomit, etc. that occur due to inflammation of the whistle. Exogenous foreign bodies are various objects inhaled through the mouth.
Clinical manifestations
can be divided into.
1, foreign body entry period.
2.Quiet period.
3, the period of inhalation failure.
The specific performance of each phase varies.
1, foreign body inhalation immediately after the occurrence of violent spasmodic cough, flushed face, breath-holding.
2.Difficulty in inhalation, the foreign body can be asphyxiated if large.
3, paroxysmal choking cough, throat wheezing.
4, foreign body with airflow upward impact on the subacoustic area, occasionally can be heard clapping sound.
5, high fever, tracheal and bronchitis and pneumonia symptoms in case of infection.
Diagnosis basis
1.More foreign body aspiration history and typical foreign body aspiration symptoms.
2, fever, cough, cough and other symptoms of acute bronchitis or pneumonia.
3, cervicothoracic examination: a tapping sound, flute whistle or a tapping sensation can be heard. Poor whistling motility, weak whistling sound on the affected side of the lung, and may have signs of pulmonary atelectasis or emphysema, pneumothorax, or mediastinal emphysema.
4, X-ray examination may have mediastinal oscillation, pulmonary atelectasis, emphysema. The diagnosis can be confirmed if the foreign body is metal.
5.Bronchoscopy can confirm the diagnosis.
Treatment principles
1.Take out the foreign body by direct laryngoscopy or bronchoscopy.
2, individual with bronchoscopic forceps have difficulties to open the chest to remove.
3.Anti-infection and supportive treatment.
4.People with complications should be treated quickly.
Medication principles
Before and after the foreign body removal according to the condition of “A”, antibiotics supplemented with hormone therapy to prevent infection and edema, pay attention to supportive and symptomatic treatment to prevent complications.
Auxiliary examination
1.Check box “A” for general patients.
2. For special needs, the examination limits include “A”, “B” or “C”.
Evaluation of efficacy
Cure: foreign body removed, the whistle tract is open, no complications.
Tips
This disease is a critical condition, infants and children should not eat peanuts, melon seeds, beans, shelled and bone-in foods. Children should not cry, laugh or play while eating. Change the usual bad habit of holding things in the mouth. Comatose patients should remove dentures to clean up vomit in time.