山东大学耳鼻喉眼学报

• 论著 • 上一篇    下一篇

儿童内源性支气管异物30例

赵利敏1,顾美珍1,李晓艳1,王智楠2   

  1. 1.上海市儿童医院/上海交通大学附属儿童医院耳鼻咽喉头颈外科, 上海 200040;
    2.武汉市儿童医院耳鼻咽喉头颈外科, 湖北 武汉 430015
  • 收稿日期:2014-04-15 出版日期:2014-06-16 发布日期:2014-06-16
  • 通讯作者: 王智楠,主任医师。 E-mail:Locke001@163.com
  • 作者简介:赵利敏。 E-mail:zhaolm@shchildren.com.cn

A clinical analysis of 30 cases of children endogenous bronchial foreign bodies

 ZHAO Li-min1, GU Mei-zhen1, LI Xiao-yan1, WANG Zhi-nan2   

  1. Department of Otolaryngology & Head and Neck Surgery, 1. Shanghai Childrens Hospital, Childrens Hospital Affiliated to Shanghai Jiao Tong University, Shanghai 200040, China;  2. Wuhan Childrens Hospital, Wuhan 430015, Hubei, China
  • Received:2014-04-15 Online:2014-06-16 Published:2014-06-16

摘要: 目的    探讨儿童内源性支气管异物的临床诊治特点,总结硬支气管镜在儿童内源性支气管异物中的诊治价值及操作注意事项。方法    回顾性分析应用儿童硬支气管镜诊治的30例内源性支气管异物的患儿的临床资料。结果    本组异物全部由硬支气管镜成功取出,其中痰栓25例、肉芽4例、伪膜1例。顺利康复出院29例,另外1例术后结核芯片检查示阳性,提示结核感染,后转结核病院治疗。结论    硬支气管镜检查术可确诊及有效治疗内源性支气管异物,术前准备要充分,手术操作应轻柔准确,并注意观察患儿全身状况,有效减少并发症。

关键词: 并发症, 硬支气管镜, 内源性支气管异物

Abstract: Objective    To explore the clinical characteristics, summary diagnosis and treatment of endogenous bronchial foreign body by rigid bronchoscopy and some cautions in operation. Method    30 cases of endogenous bronchial foreign body treated by rigid bronchoscopy were retrospectively analyzed. Results    All the bronchial foreign bodies, including 25 cases of sputum, 4 cases of granulation and 1 case of pseudomembranous were successfully removed by rigid bronchoscopy. 29 cases were discharged and 1 case suggesting tuberculosis infection by post-operative examination was transfered to the tuberculosis hospital later. Conclusion    Rigid bronchoscopy is effective for diagnosis and treatment of endogenous tracheo-bronchial foreign body, but the operation must be performed gently, carefully and precisely. Observation of the general condition of patients is the key to reduce complications.

Key words: Complication, Rigid bronchoscopy, Bronchial foreign body

中图分类号: 

  • R768.1+3
[1] 张汝祥,田昊,马有祥. 鼻内镜鼻窦手术前筛窦颅底高度的CT评估价值[J]. 山东大学耳鼻喉眼学报, 2018, 32(5): 75-77.
[2] 仇书要,刘大波,钟建文,杨李强. 儿童阻塞性睡眠呼吸暂停低通气综合征等离子[J]. 山东大学耳鼻喉眼学报, 2018, 32(2): 34-37.
[3] 霍红,李五一,王剑,杨大海,金晓峰,田旭,牛燕燕. 等离子辅助悬雍垂腭咽成形术后重度咽狭窄的治疗[J]. 山东大学耳鼻喉眼学报, 2017, 31(6): 58-61.
[4] 祝青萍, 万玉柱. 儿童急性鼻窦炎眶并发症的临床表现及治疗[J]. 山东大学耳鼻喉眼学报, 2017, 31(1): 91-94.
[5] 吴博,胡国华. 异物致颈部脓肿三例并文献复习[J]. 山东大学耳鼻喉眼学报, 2017, 31(1): 100-102.
[6] 陈秀梅,宋西成. 颈部坏死性筋膜炎7例并文献复习[J]. 山东大学耳鼻喉眼学报, 2016, 30(3): 65-67.
[7] 龚单春,张海东,张庆翔,何双八,于振坤. 精细化甲状腺腺叶切除操作技术[J]. 山东大学耳鼻喉眼学报, 2016, 30(2): 5-9.
[8] 房居高. 强化手术技能和规范诊疗是提高甲状腺癌疗效的根本[J]. 山东大学耳鼻喉眼学报, 2016, 30(2): 1-4.
[9] 程友,薛飞,王天友,陈伟,季俊峰,王志颐,许莉,杭春华. 经鼻蝶入路垂体瘤切除术后并发蝶窦炎的分析及处理[J]. 山东大学耳鼻喉眼学报, 2016, 30(1): 54-57.
[10] 王俊喜, 喻国冻, 陈乾美. 气管切开术1063例中并发症的产生种类及原因分析[J]. 山东大学耳鼻喉眼学报, 2015, 29(6): 43-44.
[11] 胡新苗. 视网膜光凝联合玻璃体切除术治疗增生性糖尿病视网膜病变的有效性及安全性[J]. 山东大学耳鼻喉眼学报, 2015, 29(6): 74-77.
[12] 陈世琴, 胡金旺. 儿童与成人人工耳蜗植入术并发症比较及处理[J]. 山东大学耳鼻喉眼学报, 2015, 29(5): 25-28.
[13] 敬尚林, 林楠, 莫炼, 何琳, 刘丽华. 纽扣式电池鼻腔异物6例临床分析[J]. 山东大学耳鼻喉眼学报, 2015, 29(3): 48-50.
[14] 孔祥峰. 翼状胬肉切除+自体干细胞移植术联合配戴角膜接触镜疗效分析[J]. 山东大学耳鼻喉眼学报, 2015, 29(3): 93-94.
[15] 唐隽, 施思斯, 于青青, 萧建新, 张超. 鼻咽癌放疗后继发慢性鼻窦炎的临床特征[J]. 山东大学耳鼻喉眼学报, 2015, 29(2): 52-54.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!