外源性气管支气管异物900例  

Exogenous tracheobronchial foreign bodies in 900 cases

作　　者：康沙沙[1] 金童[1] 魏东敏[1] 钱晔[1] 孙睿杰[1] 夏明[1] 刘大昱[1] 许风雷[1] 雷大鹏[1] 潘新良[1] 

机构地区：[1]山东大学齐鲁医院耳鼻咽喉头颈外科,卫生部耳鼻咽喉科学重点实验室,济南250012

出　　处：《山东大学耳鼻喉眼学报》2012年第6期59-61,共3页Journal of Otolaryngology and Ophthalmology of Shandong University

摘　　要：目的总结气管支气管异物的临床病例特点,为临床诊断治疗、减少术后并发症提供可靠的依据。方法回顾性分析疑似外源性气管支气管异物患者1 076例临床资料,最终经全麻硬性支气管镜确诊患者900例。其中经口支气管镜检查取出异物885例,经气管切开口支气管镜检查取出异物10例,开胸取出异物5例。结果900例中,异物种类包括植物性异物817例,动物性异物24例,金属、塑料异物59例;异物位于右主支气管397例,左主支气管333例,总气管77例;左肺下叶支气管27例,声门下16例,气管隆突10例,左肺上叶支气管15例,右肺下叶支气管18例,右肺上叶支气管7例;术后肺部感染1例,气胸、纵隔气肿1例,心衰3例。山东省内患者845例,省外患者55例。结论及早诊断、支气管镜检查,对预防术后并发症发生和气管支气管异物的成功治疗至关重要。Objective By analyzing the clinical characteristic of foreign body in the trachea and bronchus, to provide reliable information for diagnosis, treatment, and reduce postoperative complications. Methods From January 2001 to December 2011 ,the clinical data of 1076 cases of suspected foreign body in the trachea and bronchus were re- viewed. Among them, 900 cases were conf＇lnned by rigid bronchoscopy under the general anesthesia. The foreign bodies were removed via transoral bronchoscopy in 885 cases, tracheotomy in 10 cases, and thoracotomy in 5 cases. Results There were 817 plant foreign bodies, 24 animal foreign bodies, and 59 metal or plastic foreign bodies. 333 foreign bodies located in the left main bronchus, 397 in the right main bronchus , 77 in the trachea, 16 in the subglottic area. After the operation, there were one pulmonary infection, 1 pneumothorax and mediastinal emphysema, and 3 heart failure cases. 845 patients came within Shandong province, while the other 55 cases didn＇ t. Conclusion To prevent postoperative complications and guarantee the success of treatment, timely diagnosis and immediate bronchos-copy are crucial for the tracheobronchial foreign body patients.

关 键 词：异物 气管 支气管 外科手术 

分 类 号：R768.13[医药卫生—耳鼻咽喉科]