513例儿童气道异物的临床分析及诊治体会  

Foreign Body Aspiration in Children:Experience from 513 Cases

作　　者：姚薇[1] 王智楠[1] 徐忠强[1] 

机构地区：[1]武汉市儿童医院耳鼻喉科,湖北武汉430016

出　　处：《武汉大学学报（医学版）》2014年第6期948-951,共4页Medical Journal of Wuhan University

摘　　要：目的:探讨小儿气管支气管异物的临床特点,总结硬支气管镜在小儿气管支气管异物中的诊治价值及操作注意事项。方法:对应用儿童硬支气管镜诊治的513例患气管支气管异物的患儿的临床资料进行回顾性分析。结果:本组512例气管支气管异物全部由硬支气管镜成功取出,1例异物为笔帽的患儿转胸外科开胸取出。结论:儿童气道异物一经确诊或高度怀疑,应尽快行支气管镜检查,全身麻醉应达到一定的深度,手术操作应轻柔准确,并注意观察患儿全身状况,是减少并发症的关键。Objective：To explore the clinical features,diagnosis,and treatment of tracheo-bronchial foreign body aspiration by rigid bronchoscopy.Methods：In this retrospective study,513 tracheobronchial foreign body cases were diagnosed and treated by rigid bronchoscopy.Results：All foreign bodies were removed by rigid bronchoscopy successfully.One case of pen cap aspiration was transfered to department of thoracic surgery for open operation.Conclusion：Once the diagnosis of airway foreign body confirmed or highly suspected,the surgery of bronchoscopy examination should be make as soon as possible.Keeping general anesthesia to a certain depth under observation and accurate operation are important to reduce complications.

关 键 词：支气管异物 硬支气管镜 并发症 

分 类 号：R76[医药卫生—耳鼻咽喉科]