气管切开术在儿童气管支气管异物治疗中的作用  

Effect of tracheotomy on tracheobronchial foreign body in children

作　　者：赵闪闪[1] 田秀芬[1] 

机构地区：[1]郑州大学第一附属医院耳鼻咽喉科,450052

出　　处：《中国实用医刊》2017年第14期81-83,共3页Chinese Journal of Practical Medicine

摘　　要：目的 探讨气管切开术在儿童气管支气管异物治疗中的作用.方法 回顾性分析537例儿童气管支气管异物患儿的临床资料.结果 537例患儿中515例（95.9%）异物在硬性支气管镜下取出,5例患儿胸外科手术取出异物,12例患儿自行咳出异物,5例（0.9%）患儿行气管切开术取出异物.1例患儿术后死亡.结论 气管切开术在异物取出时起到重要的作用,可有效解除呼吸困难,从而降低患者的病死率.Objective To investigate the effect of tracheotomy in tracheobronchial foreign body in children.Methods A retrospective study was conducted on 537 children who were diagnosed with tracheobronchial foreign body.Results Among the 537 cases, 515 cases（95.9%） used rigid bronchoscopy to take out the foreign body, 5 cases underwent the thoracic operation to take out the foreign body, 12 children to cough out the foreign body, 5 cases underwent tracheostomy for removal of the foreign body.While 1 case died of respiratory failure.Conclusions When foreign body airway obstruction, tracheostomy is occasionally indicated in foreign body extraction, it can effectively relieve dyspnea, and reduce the mortality.

关 键 词：异物 气管切开术 呼吸困难 

分 类 号：R768.13[医药卫生—耳鼻咽喉科]