小儿气管支气管异物47例临床分析  

Clinical analysis of 47 cases of the tracheobronchial foreign body in children

作　　者：邢莲梅[1] 孙志强[1] 张琴[1] 

机构地区：[1]新乡市第一人民医院耳鼻咽喉-头颈外科,河南新乡453000

出　　处：《医学信息（内.外科版）》2009年第7期587-588,共2页Medical Information Operations Sciences Fascicule

摘　　要：目的探讨小儿气管支气管异物的诊疗经验。方法对我院47例小儿气管支气管异物的临床特点及诊治情况进行回顾性分析。结果异物位于气管8例;右支气管27例;左支气管12例。气管镜取出异物35例,直达喉镜下取出异物8例,1例异物自行咳出,3例因异物较大,行气管切开术后取出。结论对小儿气管支气管异物应作好充分的术前准备和术中应急抢救措施,硬质气管镜检查及取异物术有效可靠的手术方法。Objective To investigate the experience of diagnosis and treatment of the tracheobronchial foreign body in children. Methods Clinical Characteristics, diagnosis and treatment of 47 cases of tracheobronchial foreign body in children were retrospectively analyzed. Results Among 8 cases of tracheal foreign bodies, 27 cases of right bronchial foreign bodies and 12 cases of left bronchial foreign bodies, 35 cases of foreign bodies were removed by bronchoscopy, 8 cases of foreign bodies were removed by direct laryngoscopy. 1 case of foreign body was expectorated self. 3 cases of foreign bodies were removed by tracheotomy because the foreign bodies were too large. Conclusions the preparation before operation shoule be sufficient. Emergency therapy should be prepared during the operation. Hard bronchoscopy was effectual reliable.

关 键 词：气管支气管异物 支气管镜 儿童 

分 类 号：R72[医药卫生—儿科]