儿童呼吸道异物960例临床分析及防治对策  

Prevention and cure strategy concluded from clinical analysis of 960 cases of respiratory foreign body in children

作　　者：李向利[1] 汤亚娥[1] 汪立[1] 李小英[1] 周美红[1] 孔德玲[1] 康芳琴[1] 

机构地区：[1]西安交通大学医学院第二附属医院手术室,陕西西安710004

出　　处：《中国儿童保健杂志》2011年第7期655-657,共3页Chinese Journal of Child Health Care

摘　　要：【目的】分析儿童呼吸道异物的发病原因及种类,为儿童意外伤害的预防工作提供科学依据。【方法】回顾性分析西安交通大学第二附属医院耳鼻喉科2005年10月-2010年10月5年间收治的儿童呼吸道异物960例的临床资料,包括儿童气管异物的发生年龄分布、性别构成比、地域分布、就诊情况、气管异物常见种类、异物所在部位、手术方式及治疗结果。【结果】75.63%儿童呼吸道异物发生于1~3岁幼儿,男童明显多于女童（P〈0.001）;73.96%儿童呼吸道异物来源于农村儿童（P〈0.05）;82.08%儿童呼吸道异物为花生、瓜子等植物性异物;经过手术治疗,治愈957例,死亡3例。【结论】加强儿童的健康教育是预防儿童呼吸道异物的关键,尤其是农村的婴幼儿童。【Objective】 To analyze the variety of different causes of children respiratory foreign body,in order to provide the appropriate prevention for children accidental injury. 【Methods】 960 cases of children respiratory foreign body（October,2005-October,2010） were gathered and retrospectively analyzed,focused major on the age,sex,geographical distribution,clinical treatment,the kinds of foreign body,location of the foreign body,the kinds of operation,and the therapeutic result. 【Results】 75.63% of all the cases happened in infants of 1~3 years old,boys more than girls;73.96% of all the cases were those come from country side;82.08% of all the foreign bodies were vegetant foreign body such as peanuts or melon seeds;957 cases were cured after operation whereas 3 cases died. 【Conclusions】 The key point of prevention of children respiratory foreign body is the reinforced health education,especially in countryside.

关 键 词：呼吸道异物 健康教育 预防 儿童 

分 类 号：R768.1[医药卫生—耳鼻咽喉科]