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  • Tujki v bronhijih. Naše izkušnje s 33 bolniki od 1988 do 1997 = Bronchial foreign bodies - our experience with removal in 33 patients, 1988-1997
    Debeljak, Andrej, 1940- ; Šorli, Jurij, 1942- ; Kecelj, Peter, 1965-
    Background. A10-year experience with the removal of bronchial foreign bodies is presented. Patients and methods. Retrospectively, we examined the patients'and bronchoscopic records, and the ... collection of foreign bodies at the Department of Pulmonary Diseases and Allergy Golnik. Removal of bronchial foreign bodies was accomplished in 30 adults aged 30 to 80 years (mean 57+-15 yrs), and 3 children aged 6, 10 and 13 years. There were 24 males and 9 females. Topical anaesthesia was induced with lidocaine. Fentanyl was added intravenously when the rigid bronchoscope was used. Foreign bodies were removed by flexible bronchoscopy in 27 patients (82%), and by rigid bronchoscopy in 5 patients (15%). In one case (3%) we were unable to remov ethe foreign body despite the use of both types of instruments. Results. The indications for bronchoscopy in our series included a suspected foreign body in 21 patients, lung tumour in 9 and pneumonia in 3. Chest x-rays showed pneumonia in 20 patients, foreign body in 7 and atelectasis in 3 patients. Three patients had normal radiographic findings. In 1 patient, 2 foreign bodies were removed. The foreign bodies removed from the bromchi included 15 pieces of bone, 5 pieces of teeth, 4 cherry stones, 3 pices of plastics, 2 peagrains, a bean seed, an apple pip, an endodontic needle and a piece of palstic wrapping with a metallic skewer of a salami. We were unable to remove a metallic fragment situated in the lung for 27 years. The biopsy forceps, thewire basket and the alligator forceps were found to be the most suitable instruments for removing foreign bodies. Conclusion. Bronchial foreign bodies in adults are rare and mostly removed with the flexible bronchoscope. The rigid instrument, however, is preferred for extracting large foreign bodies from the central bronchi.
    Vir: Endoskopska revija : glasilo Sekcije za endoskopsko kirurgijo in Sekcije za gastroenterološko endoskopijo Slovenije = Endoscopic review : journal of Slovenian Society of Endoscopic Surgery and Society of Gastroenterologic Endoscopy. - ISSN 1318-8941 (Letn. 3, št. 7, dec. 1998, str. 179-183)
    Vrsta gradiva - članek, sestavni del
    Leto - 1998
    Jezik - slovenski
    COBISS.SI-ID - 8165337

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