Bronchial Foreign Body in Adults: Three Cases Report and Literatures Review_Chinese Journal of Respiratory and Critical Care Medicine

Authors：

SuYiliang , ZhouYing , LiQiuhong , ZhangFen , ShenLi , HuYang , ZhangYuan ,  LiHuiping

Department of Respiratory Medicine, Shanghai Pulmonary Hospital, Tongji University, Shanghai, 200433, China;

Corresponding author：

LiHuiping, Email: liw2013@126.com

Keywords：

Bronchial foreign body; Bronchoscopy; Adults

DOI：

10.7507/1671-6205.2016112

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Abstract Full text Figures/Tables Video References Cited by

Objective To highlight the characteristics of bronchial foreign body in Adults. Methods The clinical data of three patients with bronchial foreign body were analyzed and related literatures were reviewed. Results Foreign bodies in three patients were all located in right bronchi. Their initial diagnoses were tumor, pneumonia and foreign body, respectively. They all didn't offer a definite history of foreign body aspiration. Foreign bodies in three patients were diagnosed and treated by bronchoscopy. Through reviewing 978 related literatures, we found 2920 cases of bronchial foreign body in adults. 75.00% of them didn't offer a history of foreign body aspiration. 80.13% of them were misdiagnosed as other diseases before bronchoscopy, such as pneumonia(31.23%), lung cancer(25.21%), tuberculosis(5.81%), bronchiectasis(6.58%) and asthma(12.47%). Some of them were misdiagnosed for over 30 years. Conclusions Bronchial foreign bodies in adults are easily misdiagnosed. Bronchoscopy plays an important role in diagnosis and treatment of bronchial foreign body.

Citation： Su Yiliang, Zhou Ying, Li Qiuhong, Zhang Fen, Shen Li, Hu Yang, Zhang Yuan, Li Huiping. Bronchial Foreign Body in Adults: Three Cases Report and Literatures Review. Chinese Journal of Respiratory and Critical Care Medicine, 2016, 15(5): 484-489. doi: 10.7507/1671-6205.2016112 Copy

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5.	Lin L, Lv L, Wang Y, et al. The clinical features of foreign body aspiration into the lower airway in geriatric patients. Clin Interv Aging, 2014, 24:1613-1618.
6.	丁赞, 李娜. 1050例气管支气管异物临床诊治分析.临床耳鼻咽喉头颈外科杂志, 2012, 26:936-938.
7.	Dong YC, Zhou GW, Bai C, et al. Removal of tracheobronchial foreign bodies in adults using a flexible bronchoscope:experience with 200 cases in China. Intern Med, 2012, 51:2515-2519.
8.	Duan L, Chen X, Wang H, et al. Surgical treatment of late-diagnosed bronchial foreign body aspiration:a report of 23 cases. Clin Respir J, 2014, 8:269-273.
9.	李瑛, 胡成平, 肖奇明, 等.我国中南地区244例成人气管支气管异物特点分析.中国呼吸与危重监护杂志, 2014, 13:72-77.

1. 薛刚, 尚小领, 林彦涛, 等.气管支气管异物3018例临床分析.中国耳鼻咽喉颅底外科杂志, 2008, 14:372-374.
2. Boufersaoui A, Smati L, Benhalla KN, et al. Foreign body aspiration in children:experience from 2624 patients. Int J Pediatr Otorhinolaryngol, 2013, 77:1683-1688.
3. Maraynes M, Agoritsas K. Inhaled foreign bodies in pediatric patients:proven management techniques in the emergency department. Pediatr Emerg Med Pract, 2015, 12:1-14.
4. 许煊, 祝彬, 石苗茜, 等.儿童异物吸入的诊治和预防.中华实用儿科临床杂志, 2015, 30:1383-1386.
5. Lin L, Lv L, Wang Y, et al. The clinical features of foreign body aspiration into the lower airway in geriatric patients. Clin Interv Aging, 2014, 24:1613-1618.
6. 丁赞, 李娜. 1050例气管支气管异物临床诊治分析.临床耳鼻咽喉头颈外科杂志, 2012, 26:936-938.
7. Dong YC, Zhou GW, Bai C, et al. Removal of tracheobronchial foreign bodies in adults using a flexible bronchoscope:experience with 200 cases in China. Intern Med, 2012, 51:2515-2519.
8. Duan L, Chen X, Wang H, et al. Surgical treatment of late-diagnosed bronchial foreign body aspiration:a report of 23 cases. Clin Respir J, 2014, 8:269-273.
9. 李瑛, 胡成平, 肖奇明, 等.我国中南地区244例成人气管支气管异物特点分析.中国呼吸与危重监护杂志, 2014, 13:72-77.

Chinese Journal of Respiratory and Critical Care Medicine

Bronchial Foreign Body in Adults: Three Cases Report and Literatures Review

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