摘要
目的 探讨儿童气管及支气管异物的临床病理特征，总结诊疗经验。方法 回顾性分析1998年1月-2003年12月间本院诊治的儿童行气管及支气管镜检查的418例的临床资料。结果 418例患儿中，支气管镜检查发现有异物者287例（68．7％），有脓性分泌物从气管、支气管内吸出者62例（14．8％），无异常发现者69例（16．5％）；异物位于右主支气管者145例（145／287，50．5％），位于左主支气管者78例（78／287，27．2％），位于双侧支气管者12例（12／287，4．2％），异物位于气管内者52例（52／287，18．1％）。最常见的异物种类为花生米、瓜子和豆类。结论 对于儿童气管及支气管异物，应高度重视详细询问异物吸人史和胸部X线检查结果，以避免延误病情。对父母及其子女进行相关的健康教育是预防该类疾病的关键所在。
Objective To investigate the clinical pathological features of children cases with tracheobronchial foreign bodies and to sum up the experience with diagnosis and treatment for this condition. Methods A retrospective study was carried out among 418 children cases with tracheobronchial foreign bodies treated in our Hospital from 1,1998 to 12,2003. All these cases were operated on under general or local anesthesia, with bronchoscopy and/or foreign body removing performed during this time. Results Among this group of children cases, 287 were found with foreign bodies in trachea or bronchus（68.7% ）, 62 with purulent secretion aspirated from trachea and/or bronchus（ 14.8% ）, 69 with no foreign bodies found in trachea and bronchus（16.5% ）. Furthermore, 145 cases were found with the foreign bodies in the right main bronchus（50.5% ）, 78 were with the foreign bodies in the left main bronchus（27.2% ）, 12 cases with the foreign bodies in both sides of bronchus（4.2% ）, and 52 eases in trachea（18.1%） among the 287 eases with foreign bodies found. The most frequently found foreign bodies wrer peanut, seed and bean. Conclusions For the diagnosis of children eases with tracheobronchial foreign bodies, it is very important to collect the detailed ill history of foreign body inhalation and to put more attention on careful analysis on the findings from chest radiographs. Only in this way, avoided can be the delay of diagnosis. The key measure to prevent this condition from occurring should be healthy care education to the parents of children and themselves.
出处
《中国中西医结合耳鼻咽喉科杂志》
2007年第1期45-47,共3页
Chinese Journal of Otorhinolaryngology in Integrative Medicine
关键词
异物
气管
支气管
儿童
诊断
治疗
Foreign body
Trachea
Bronchus
Children
Diagnosis
Treatment
