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目的探讨气管切开术在儿童呼吸道特殊异物取出术中的作用。方法回顾性分析159例儿童呼吸道异物的临床资料,5例(3.14%)经气管切开术取出,其中2例为特殊类型异物。结果 159例儿童呼吸道异物中156例(占98.1%)经硬质支气管镜检查取出异物,1例使用特殊类型导管取出,2例死亡。5例患者行气管切开术取异物(0.63%),2例为特殊异物。结论当呼吸道异物阻塞较为严重或常规支气管镜检查难以取出的特殊异物时,气管切开术可以迅速缓解呼吸困难,吸出呼吸道分泌物并有助于异物取出。
Objective To investigate the role of tracheotomy in the removal of special foreign body in children. Methods The clinical data of 159 children with respiratory tract foreign bodies were retrospectively analyzed. Five cases (3.14%) were removed by tracheotomy. Two of them were special foreign bodies. Results 156 cases (98.1%) of foreign bodies in children with respiratory tract were removed by hard bronchoscopy. One case was removed with special type of catheter and two cases died. Five patients underwent tracheotomy (0.63%) and two as special foreign bodies. Conclusions Tracheotomy can quickly relieve dyspnea, aspirate respiratory secretions and facilitate the removal of foreign bodies when the foreign body in the airway is more obstructive or is difficult to remove by conventional bronchoscopy.