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目的对气管、支气管异物的发生、诊断、治疗提高认识。方法回顾性总结、分析我院5年来气管、支气管异物的就诊、诊断、治疗情况。结果30例患者中:儿童组21例,占70%,主要特点是异物吸入史明确,病程短,半数患者有呼吸困难。老年人病程长达1年以上,最长10年。治疗结果:儿童组中,18例在全麻下硬质气管镜异物取出,成人组中,7例经纤支镜异物清除,2例由外科在全麻下行外科手术。结论:气管、支气管异物的发生以儿童多发.气管、支气管异物早期诊断和治疗十分重要,但临床常有误诊病例,多见成年人,尤其是老年人,究其原因往往是其临床症状不典型,容易被原有慢性疾病所掩盖,且往往不能提供异物吸入史,故容易造成临床误诊。仔细的病史询问和支气管镜检查是诊治气管、支气管异物的有效方法。
Objective To improve the understanding of the occurrence, diagnosis and treatment of trachea and bronchial foreign bodies. Methods Retrospectively summarized and analyzed the treatment, diagnosis and treatment of tracheal and bronchial foreign bodies in our hospital for 5 years. Results Among the 30 patients, 21 were children, accounting for 70%. The main features were the history of foreign body aspiration, short course of disease, and half of patients had dyspnea. The course of the elderly up to 1 year or more, up to 10 years. Treatment outcome: In the children group, 18 cases of tracheal aspiration were removed under general anesthesia. In the adult group, 7 cases were cleared by fiberoptic bronchoscopy and 2 cases were surgically removed under general anesthesia. Conclusion: Early tracheal and bronchial foreign body diagnosis and treatment of tracheobronchial foreign body is very important, but often misdiagnosed cases, more common in adults, especially the elderly, the reason is often atypical clinical symptoms , Easy to be covered by the original chronic diseases, and often can not provide history of foreign body inhalation, it is likely to cause clinical misdiagnosis. Careful medical history and bronchoscopy is an effective method of diagnosis and treatment of tracheal and bronchial foreign bodies.