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花生作为气管、支气管异物较矿物性异物更易引起粘膜炎症反应,加以X线检查不能显影,故诊断较困难而易误诊为哮喘或支气管炎等而延误治疗。本文报告支气管内冲洗法处理花生碎屑的经验,对预防残存异物及继发性并发症非常有效。一般情况下,虽然也可用橡胶或硅胶管伸入支气管内吸出花生碎屑,但易损伤粘膜及纤毛。作者认为恰当地选用支气管冲洗法则不易伤及粘膜,纤毛损伤亦较轻,能较彻底地除去残存异物及油脂等。作者于1977及1978年相继收治1～2岁右支气管花生异物2例,均在全麻下用换气支气管镜(Ventilation bronchoscope)检查,先取
Peanut as a trachea, bronchial foreign body more likely to cause mucosal inflammatory reaction than mineral foreign body, X-ray examination can not be developed, so the diagnosis is more difficult and easily misdiagnosed as asthma or bronchitis and delayed treatment. This article reports on the experience of endobronchial treatment of peanut detritus and is very effective in preventing residual foreign body and secondary complications. Under normal circumstances, although rubber or silicone tube can also be used to reach the bronchial suction of peanut debris, but easily damage the mucous membranes and cilia. The author believes that the proper choice of bronchial irrigating rules is not easy to hurt the mucosa, cilia damage is also lighter, can be more thoroughly to remove residual foreign body and grease. The authors in 1977 and 1978 were treated 1 to 2 years old right bronchial peanut foreign body in 2 cases, were under general anesthesia with bronchoscopy (Ventilation bronchoscope) check, take first