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目的探讨儿童气管支气管异物的临床特征、诊治方法及时机。方法回顾总结686例气管支气管异物患者临床资料,应用硬气管镜、纤维支气管镜、开胸等方法进行治疗,追踪临床转归。结果异物种类中植物性658例(95.9%),小塑料制品7例,金属6例。经硬质气管镜取出气道异物660例,纤维支气管镜取出基底支内异物5例,基底支内异物转胸科手术取出1例,自行咳出1例。结论幼儿期为儿童气管支气管异物的高发年龄段;病情发展迅速、手术风险较大;术中要求迅速、准确取出异物;术后需加强病情监控。
Objective To investigate the clinical characteristics, diagnosis and treatment methods and timing of tracheobronchial foreign body in children. Methods The clinical data of 686 patients with tracheobronchial foreign bodies were reviewed and summarized. The patients were treated with bronchoscopy, bronchofibroscopy and thoracotomy, and the clinical outcomes were followed up. Results There were 658 (95.9%) plant species in the foreign body, 7 small plastic products and 6 metal. 660 cases of airway foreign bodies were removed by rigid bronchoscope, 5 cases of foreign bodies in the basilar branches were removed by fiberoptic bronchoscopy, 1 case was removed by thoracic surgery with foreign bodies in the basilar branch and one case was coughed by themselves. Conclusion Early childhood is the high incidence of children with tracheobronchial foreign body; the rapid development of the disease, the larger the risk of surgery; intraoperative requirements quickly and accurately remove foreign body; postoperative need to strengthen the disease surveillance.