The patient is Ms. QTP, 43 years old, admitted to Hoa Binh General Hospital on the morning of May 9. Through clinical examination, the doctor found that the patient had pneumonia and reduced gas exchange at the bottom of the left lung.
The chest CT scan showed an abscess in the lower lobe of the left lung and suspected foreign body in the airway. The patient's medical history revealed that he had choked on food when eating rice at the age of 18, causing severe coughing and difficulty breathing. In recent years, the patient had been regularly admitted to the district health center near his home for treatment of pneumonia, an average of 3-4 times a year.
At Hoa Binh General Hospital, the patient received multidisciplinary consultation: Intensive care, Respiratory, Anesthesia and resuscitation, Diagnostic imaging. Doctors performed a flexible bronchoscopy under anesthesia to examine the patient's entire airway.
"When inserting the endoscope into the lower lobe of the left lung, the doctor discovered a foreign object as big as the tip of a little finger, with many edges, and covered with phlegm and pus," said Dr. Hoang Cong Tinh, Head of the hospital's Intensive Care Unit 1.
Foreign object as big as the tip of a little finger was found in the patient's lung. Photo: BVCC
Foreign objects blocking the bronchus obstruct the ventilation of the lower lobe of the left lung, accompanied by suppuration and abscess formation. In addition, the foreign objects move with the breathing rhythm, rubbing against the bronchial wall causing bleeding.
The requirement now was to remove the foreign object while still ensuring breathing and not damaging the airway. After nearly an hour, the bone fragment was removed with the endoscope's forceps, and the pus in the lower lobe of the left lung was completely suctioned out.
Sharing with VietNamNet on May 10, Dr. Tinh said he was very surprised and had never seen a case of a foreign object choking for such a long time. This is the fifth case that the flexible bronchoscopy team at Hoa Binh General Hospital has removed a foreign object from the lung.
Source: https://giadinh.suckhoedoisong.vn/su-co-khi-an-com-khien-nguoi-phu-nu-ho-ra-mau-phai-di-cap-cuu-172240510200615607.htm
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