小儿气管支气管异物368例临床诊治分析  

Clinical analysis on 368 children cases with tracheobronchial foreign body

作　　者：潘宏光[1] 李兰[1] 梁振江[1] 吴泽斌[1] 

机构地区：[1]深圳市儿童医院耳鼻咽喉科,深圳518026

出　　处：《临床耳鼻咽喉头颈外科杂志》2010年第12期544-546,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

基　　金：深圳市医学重点专科资助项目(No:2005C03)

摘　　要：目的:探讨小儿气管及支气管异物的临床特征,提高诊治率。方法:回顾性分析368例气管、支气管异物患儿的临床资料。分析患儿的年龄、性别、病史、异物部位和种类及并发症等。368例患儿中,3例在术前将异物咳出,2例因病情危重未取异物,其他均在全身麻醉下行气管镜检查及异物取出术。结果:3例在术前将异物自行咳出,4例死亡,2例患儿遗留缺氧缺血性脑病、癫痫,余均手术取出异物。结论:对于儿童气管及支气管异物,应详细询问异物吸入史,进行体格检查和胸部X线或CT检查,以避免延误病情和出现误诊、误治。Objective：To investigate the clinical pathological features of children tracheobronchial foreign bodies and to improve diagnosis and treatment. Method：A retrospective study 368 children cases with tracheobronchial foreign bodies in our hospital. Each patient was analyzed for age,sex,nature,complication and location of the foreign body,results of bronchoscopic removal and presence of foreign bodies in the airways. Among this cases,three of them coughed out the foreign body before operation; two of them failed to be operated for serious complication,others were conducted by rigid bronchoscopy and bronchoscopic removal with general anaesthesia. Result：Three children of 368 coughed out the foreign body before operation; 4 children of them were dead for the long heartbeat respiratory arrest and deep coma; 2 children of them suffered form hypoxic ischemic encephalopathy and epilepsy; others were successfully taken out by operation. Conclusion：For the diagnosis of children cases with tracheobronchial foreign bodies,it is very important to collect the detailed history of foreign body inhalation,physical examination and careful analysis on the findings from chest radiographs or CT scan.

关 键 词：异物 气管 支气管 儿童 

分 类 号：R768.13[医药卫生—耳鼻咽喉科]