小儿气管支气管异物的临床分析  

Pediatric clinical analysis of tracheobronchial foreign body

作　　者：陈辉[1] 曾振东[1] 刘亚峰[2] 

机构地区：[1]成都市第一人民医院耳鼻咽喉头颈外科,四川成都610041 [2]四川大学华西医院耳鼻咽喉头颈外科,四川成都610041

出　　处：《四川医学》2011年第3期327-328,共2页Sichuan Medical Journal

摘　　要：目的提高小儿气管支气管异物的诊治水平,减少其误诊、漏诊及并发症的发生。方法回顾性分析了156例小儿气管支气管异物的诊断、治疗及结果。结果 156例患儿,有明确异物吸入史129例,无明确异物吸入史27例,胸片阳性率123/156(78.7%),阴性率33/156(21.3%);2例患儿自行咳出1,49例患儿行手术取出异物;死亡4例,治愈率97%。结论根据明确的异物吸入史、典型的临床表现及X线等检查多可确诊,及时有效的采用手术治疗方可获得良好的治疗效果。Objective To improve the diagnosis and treatment of pediatric tracheal or bronchial foreign body,reduce its misdiagnosis,missed diagnosis and complications.Methods Retrospective analysis of the diagnosis,treatment and outcome of 156 patients with trachea bronchial foreign body.Results Among 156 patients,there are 129 patients who have specific history of inbreathing foreign body and there are 27 patients who have no clear history of inbreathing foreign body.Positive rate of sternum is 123/156（78.7%） and negative rate is 33/156（21.3%）.There are 5 cases of children who coughed out the foreign body by themselves and other 149 patients took out foreign body by operating.Four patients died,the cure rate is 97%.Conclusion According to the specific history of inbreathing foreign body,typical clinical manifestations,X-ray examination and other some examinations,the disease can be diagnosed.Timely and effectively using surgery can obtain good effect.

关 键 词：小儿 气管支气管异物 诊断 手术 

分 类 号：R768.13[医药卫生—耳鼻咽喉科]