1.Clinical diagnosis and treatment of bronchial foreign bodies in 147 children
Shanjia CHEN ; Haoxiang GU ; Min LU ; Beirong WU ; Rong TANG
Journal of Clinical Pediatrics 2019;37(1):26-29
Objective To explore the clinical characteristics of bronchial foreign bodies in children. Method The clinical data of 147 children with exogenous bronchial foreign body admitted between 2014 and 2016 were retrospectively analyzed, and the applications of rigid bronchoscopy and flexible bronchoscopy for foreign body extraction were compared. Results All 147 cases were diagnosed with bronchial foreign bodies by chest CT, chest X-ray or respiratory endoscopy. In these cases (104 boys and 43 girls) , 87.8% of whom were aged 1-3 years, the most common types of bronchial foreign body were nuts. The common complications were bronchial mucosal granulation tissue hyperplasia (88 cases, 59.86%) , pneumonia (56 cases, 38.1%) , atelectasis (15 cases, 10.2%) , respiratory failure (14 cases, 9.52%) and bronchiectasis (4 cases, 2.72%) respectively. The foreign bodies were removed by soft bronchoscopy in 106 cases which were successfully removed at one time in 100 cases. Respiratory endoscopy was undergone in 141 cases to remove foreign bodies, and flexible bronchoscope was applied in 106 (72.11%) cases and foreign bodies were successfully removed in first attempt in 100 cases (94.34%) . Rigid bronchoscope was used in 35 cases (23.81%) and foreign bodies were successfully removed in first attempt in 28 cases (80.0%) . Conclusion The majority of children with bronchial foreign body are male. Both flexible and rigid bronchoscopes can remove exogenous foreign bodies in the lower respiratory tract.
2.Pharmaceutical care for a patient with cancer pain after surgery for metastatic breast cancer
Jin LU ; Xincai ZHAO ; Beirong CHEN ; Yun ZHAO ; Jing WANG ; YAN HUO
Journal of Pharmaceutical Practice 2021;39(4):359-361
Objective By participating in the process of drug treatment and pharmaceutical monitoring for a patient with cancer pain, clinical pharmacists participated in formulating drug treatment plans and proposed rational medication recommendations. At the same time, patients were given health education to reduce or avoid adverse drug reactions. Methods Pharmacists participate in the process of pharmacy monitoring of patients by participating in the review of prescriptions, discovering problems, intervening in time for improper prescriptions, communicating with doctors, changing medication plans, and providing health education to patients. Results Physicians accepted the suggestions of pharmacists and modified the medication regimen. The patient's condition improved. Conclusion The pharmacist participated in the intervention of an improperly prescribed medication for a patient with metastatic breast cancer postoperative cancer pain, and gave the patient a full range of pharmaceutical care, which reflects the importance of the pharmacist in pharmaceutical care.