小儿气管支气管异物180例  

Diagnosis and treatment of tracheobronchial foreign bodies in 180 cases

作　　者：陈静[1] 卫旭东[2] 

机构地区：[1]宁夏医科大学,2011级研究生宁夏银川750004 [2]甘肃省人民医院耳鼻咽喉头颈外科,甘肃兰州730000

出　　处：《山东大学耳鼻喉眼学报》2014年第3期53-55,共3页Journal of Otolaryngology and Ophthalmology of Shandong University

基　　金：甘肃省中医药管理局科研课题(GZK-2010-43);兰州市科技局立项课题(2013-3-31)

摘　　要：目的分析小儿气管支气管异物的临床特点及治疗体会,提高气管支气管异物的诊治水平。方法回顾性分析180例小儿气管异物的临床资料。结果 180例中,植物性异物173例、金属性异物2例、塑料性异物2例、其他3例;在表麻下Hopkin支气管镜经口取出异物176例,经气管切开后取出异物4例,经二次手术取尽异物15例,均未有严重并发症发生,术后3 d复查胸透(片)均未见异物残留征象。结论异物吸入史、症状及体征,结合影像学检查可诊断气管支气管异物,表麻下气管异物取出是一种简易、有效的手术方式,症状严重者应考虑及时行气管切开。Objevtive To improve the diagnosis and treatment by analyzing the clinical characteristics of tracheobron-chial foreign bodies in children.Methods 180 cases of tracheobronchial foreign bodies, from January 2008 to Septem-ber 2013, were retrospectively analyzed.Results Foreign matter were plant in 173 cases, metal in 2 cases, plastic in 2 cases, and unclassified in 3 cases.The foreign bodies were successfully removed through the Hopkin bronchoscope in 176 patients under surface anesthesia and through the incision of tracheotomy in the other 4 patients.Second surgery to remove the foreign body were performed in 15 cases.No post-operative complications occured.No foreign body was found in X-ray examination 3 days later after the operation.Conclusion History of foreign body, clinical symptoms, and peri-operative X-ray examination are keys to diagnose foreign bodies in trachea.The surface anesthesia is a simple and effective way for the operation, however, intubation should be done in a timely manner for severe cases.

关 键 词：气管异物 儿童 诊疗 表面麻醉 气管切开 

分 类 号：R768.13[医药卫生—耳鼻咽喉科]