超细型纤维支气管与人工通气在婴幼儿呼吸道异物取出术中的应用(附30例分析)  

The clinical apply of respiratoey tract foreign body under ultrathin bronechoscope and artificial ventilationfor

作　　者：陈斌[1] 司徒鹏[1] 彭少娴[1] 

机构地区：[1]广东省韶关市粤北人民医院,广东韶关512026

出　　处：《河北医学》2004年第10期876-878,共3页Hebei Medicine

摘　　要：目的 :研究婴幼儿呼吸道异物的诊断、治疗方法。方法 :通过对我院近 4年来 30例婴幼儿呼吸道异物患者诊断和治疗 ,采用回顾性分析。结果 :本组采用病例组在 6月至 5岁 ,男性与女性比例为 2 .3:1,植物性异物 2 4例 (80 % ) ,化学性异物 3例 (10 % ) ,动物性异物 10 %。均在气管插管人工通气下进行纤支镜检查治疗 ,成功率 10 0 % ,无出现窒息、心跳、呼吸骤停等重大并发症。结论 :5岁以下尤其在 3岁以下婴幼儿呼吸道异物采用气管插管人工通气下的纤支镜检查治疗 ,能保证时使供氧 ,在良好的呼吸状态下进行手术 ,缩短纤支镜检查治疗时间 ,避免因反复进出声门所造成的声门水肿、窒息、心跳、呼吸骤停等重大并发症的方法。Objective: To investigate the diagnosis and therapy of repiratory tract foreign body foreinfants. Method: Retrospective analysis of diagnosis and treatment was made in 30 cases of infants’ respiratory foreign body for last 4 years. Result: From 6 months to 5 years of age ( male:female = 2.3:1), 24 cases were vegetality foreign body ( 80%), 3 cases were chemical foreign body ( 10%) and 3 cases were animal foreign body ( 10%) whose operations were performed by trachea cannula and artifical ventilation under bronechoscope. Rate of success was 100% and there were no asphyxia and cardiopulmonary arrest complication. Conclusion: For infants under 5 years of age, especially under 3 years old, it is necessary to perform operation by trachea cannula and artificial ventilation under bronechoscope for respiratory foreign body because it can supply abundant oxygen and good respiratory situation. It can also shorten the time of examination and treatment and avoid glottial edema, asphyxia and cardiopulmonary arrest complication.

关 键 词：婴幼儿 超细型纤维镜 人工通气 异物 

分 类 号：R768[医药卫生—耳鼻咽喉科]