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71岁老人咳嗽30年 医院检查发现肺里藏块骨头--亲稳舆论引导监测室
2013-01-26
71岁老人咳嗽30年一直找不到病因,检查后才发现病根是肺里有一块骨头。
71 - year - old cough 30 years couldn't find the cause,Check after that know the disease is lungs have a bone.
郑州的武大爷71岁,去年年底因为咳嗽、胸闷,到省中医院看病。这样的症状反复出现,已经30年了。他去过多家医院,但都按慢性支气管炎治疗,一直找不到病因。
Zhengzhou weapon big ye 71 years old,By the end of last year because cough/Bosom frowsty,In the provincial hospital of traditional Chinese medicine doctor.Such symptoms appeared again and again,Has 30 years.He went to the hospital too much,But in the treatment of chronic bronchitis,Always couldn't find the cause.
主管医师王东给老人做了气管镜检查,结果发现老人右肺中下叶开口处,有一较大异物。下端嵌于气管内,周围已经被肉芽组织包埋,完全阻塞了气道管腔。
The competent physician wang dong to the old man made bronchoscope examination,The results showed that the old man lower leaf opening,There is a large foreign body.Embedded in lower endotracheal,Surrounding has been granulation tissue embedding,Completely blocked airway lumen.
这是什么东西,武大爷也很疑惑。
What is this stuff,Wu big ye also very confused.
因为异物已经嵌在气管内,很难直接用钳取出,肺病科主任孟泳决定,在气管镜下用高频电刀烧灼周围组织,让异物达到游离状态,再配合各式异物钳、网篮、圈套器、切割刀、活检钳,将其取出。
Because foreign body already embedded within the trachea,It is difficult to directly use clamp take out,Pulmonary disease section head MengYong decision,Under the bronchoscope with high frequency electric knife burning surrounding tissues,Let the foreign body to achieve free state,Combined with various foreign body forceps/A basket with netting on top/snare/cutter/Biopsy forceps,To take out its.
半个月时间内,孟泳为老人做了三次气管镜手术。
Half a month of time,MengYong for the old man made three bronchoscope surgery.
孟泳说,因为异物太大,不能硬拉,所以必须先切割,再分次拉出。
MengYong said,Because foreign body is too big,Can't pull,So must first cutting,Once again points out.
最终异物被拉出,大家发现,它竟然是块骨头。
Final foreign body was pulled out,We found that,It turned out to be bones.
武大爷这才回忆起,他就是有次吃完肉骨头后开始出现咳嗽症状的。
Wu big ye this just to recall,He is a time to eat the meat bones after cough symptoms began to appear.
这么大块异物进到气管竟然不知道?
So large foreign body into the trachea didn't know that?
孟泳说,每个人咽部都有会厌软骨,其作用是防止食物进入气管。但是人吃饭大笑或说话时,会厌软骨来不及关闭,异物就易进到气管。因为气管有弹性,骨头随着人体活动,逐步向下位移。
MengYong said,Everyone pharyngeal have epiglottis cartilage,Its role is to prevent food into the trachea.But people eat laugh or talk,Epiglottis cartilage too late to close,Foreign body is easy to into the trachea.Because the trachea elastic,Bones with human activities,Gradually downward displacement.
“幸亏这块骨头是排骨,没有尖锐的骨刺,否则会刺穿气管甚至肺,非常危险。”孟泳说。
"Thanks to the bone is ribs,No sharp bone spur,Otherwise you will Pierce the trachea and lungs,Very dangerous."MengYong said.
找出病因后,经过几天消炎,武大爷昨天已经出院。(河南商报 记者郑筱倩)
Find out after the cause,After a few days diminish inflammation,Grandpa wu yesterday has been discharged.(The henan business ZhengXiaoQian reporter)
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