关键词: 嵌顿性, 气管异物, 抢救, 声门异物

Abstract: Objective To explore the clinical manifestations， diagnosis and treatment of the subglottic foreign body. Methods A case report and review of the literature. from a retrospective analysis of 12 June 2018， a case of the insinuated sound portal developed into a trachea foreign body. The patient， female， 1 year 3 months old， was admitted to the hospital for “10 days after eating fish bones.” Before the admission， the treatment of anti-inflammatory and atomizer was not effective， and the fiber laryngoscopy showed a foreign object. During general anesthesia downlink bronchoscope surgical exploration， laryngospasm and oxygen desaturation occurred， emergency tracheal intubation and evolution of trachea was applied with the bronchoscope under general anesthesia. The foreign body was removed successfully. Results The procedure went well the first postoperative day and 13 days after tracheal intubation. The patient had no fever， cough and expectoration， without shortness of breath or rosy. The lung auscultation breath sounds was clear. Review of X-ray suggests basic healing and no foreign body residual or pneumonia. She discharged from hospital. Conclusion Laryngeal foreign body and tracheal foreign body are common， but it is rare to develop into the endotracheal foreign body. A history of foreign body ingestion of children should be considered the possibility of laryngeal eyewinker and needs relevant examination and further diagnosis. Suitable operation and anesthesia method should be chosen.

Key words: tracheal foreign body, the subglottic foreign body, nested, rescue