摘要
目的探讨儿童支气管特型异物手术治疗时机和术式。方法回顾分析手术治疗22例儿童支气管异物的临床资料,男16例,女6例;年龄3～12岁。其中植物类异物13例、金属类异物3例、其他异物6例。结果急诊手术3例,择期手术19例。17例行支气管切开取异物并成形术,4例行肺叶切除术,1例经胸取异物失败。术后并发肺不张2例,切口感染1例,呼吸功能不全1例。经处理治愈;多脏器功能衰竭死亡1例。结论经内镜取异物失败不伴致命性并发症者尽可能避免急诊手术,术前应明确定性、定位;对长期药物治疗效果不佳的肺化脓症、肺不张应考虑支气管异物的可能。
Objective To investigate timing and technique of surgical treatment for special bronchial foreign body in children. Methods Twenty- two patients with foreign body in bronchus were reviewed. There were 16 boys and 6 girls ranging in age from 3 to 12 years（mean 7. 2 ±3. 4 yr）. Of the cases studied, peanuts and sunflower seed were aspirated from 13 cases,metallic foreign body was as- pirated from 3 cases and 6 from the others. All cases failed an endoscopic removal. Three cases underwent urgent operations and 19 cases received selective techniques. Results The operative techniques included bronchotomy and removal of foreign body in 17 cases, pulmonary lobectomy in 4 cases. Postoperative complications were pulmonary atelectasis （ 2 ）, incision infection （1） respiratory insufficiency （1）. One case of failed operation died of multiple organ failure. Conclusions Ascertaining the nature and location of the foreign body with selective surgical operation is important to the management of bronchial foreign body in children, the urgent operation should be avoid if possible. In cases of long term pulmonary suppuration or atelectasis unaffected by antibiotics administration, the possibility of foreign body in bronchus should be considered.
出处
《中华小儿外科杂志》
CSCD
北大核心
2007年第11期572-574,共3页
Chinese Journal of Pediatric Surgery
关键词
支气管
异物
外科手术
Bronchi
Foreign bodies
Surgical procedures, operative
