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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。
Objective To analyze the clinical characteristics and treatment of pediatric tracheobronchial foreign body and to improve the diagnosis and treatment of tracheal bronchial foreign body. Methods Retrospective analysis of 180 cases of pediatric tracheal foreign body clinical data. Results Among the 180 cases, 173 cases of plant foreign body, 2 cases of metallic foreign body, 2 cases of plastic foreign body, and 3 cases of other cases; 176 cases of foreign bodies were orally taken by Hopkin bronchoscope under table and 4 cases of foreign body were removed after tracheotomy , 15 cases of foreign bodies were removed by secondary surgery, no serious complications occurred, 3 days after the chest X-ray examination (film) no signs of foreign body residual. Conclusions The history of foreign body aspiration, symptoms and signs can be diagnosed by tracheal examination. The removal of tracheal foreign body after epidural anesthesia is a simple and effective surgical method. In severe cases, tracheotomy should be considered in time.