山东大学耳鼻喉眼学报 ›› 2015, Vol. 29 ›› Issue (6): 39-42.doi: 10.6040/j.issn.1673-3770.0.2015.303

• 论著 • 上一篇    下一篇

小儿气管支气管异物2000例

高滢1, 王正辉1, 常会敏2, 吴彩芹1, 寇晓会1, 许珉1   

  1. 1. 西安交通大学第二附属医院耳鼻咽喉头颈外科, 陕西 西安 710004;
    2. 西安医学院第一附属医院耳鼻喉科, 陕西 西安 710013
  • 收稿日期:2015-07-20 出版日期:2015-12-16 发布日期:2015-12-16
  • 通讯作者: 吴彩芹. E-mail:caiqinwu11@163.com E-mail:caiqinwu11@163.com
  • 作者简介:高滢. E-mail:quail_0_0@163.com

Foreign bodies in children's bronchus: an analysis of 2000 cases

GAO Ying1, WANG Zhenghui1, CHANG Huimin2, WU Caiqin1, KOU Xiaohui1, XU Min1   

  1. 1. Department of Otolaryngology & Head and Neck Surgery, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710004, Shaanxi, China;
    2. Department of Otolaryngology, The First Affiliated Hospital of Xi'an Medical University, Xi'an 710013, Shaanxi, China
  • Received:2015-07-20 Online:2015-12-16 Published:2015-12-16

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摘要： 目的 探讨小儿气管支气管异物的临床特点、诊断处理经验及预防措施.方法 回顾分析小儿气管支气管异物患者2 000例的病历资料,总结小儿气管支气管异物患者的发病年龄分布、就诊情况、常见异物种类、发生部位、影像学检查、麻醉方式及手术治疗等方面的概况. 结果 2 000例中,72.5%的患儿年龄1~3岁,82.5%异物种类以植物性为主,52.4%异物发生在右侧主支气管,98.7%的三维重建CT诊断符合率,明显高于胸部X线的82.0%(P<0.01).经过手术治疗,治愈1 985例,死亡15例.治愈中9例经局麻下取出异物,其余1 976例均在全麻下行支气管镜检术取出.结论 快速诊断,准确的影像学检查,及时的手术治疗可有效降低气管异物的误诊率及死亡率.

关键词: 支气管, 异物, 气管, 儿童

Abstract: Objective To investigate the clinical characteristics, diagnosis and treatment of tracheobronchial foreign bodies in children. Methods Clinical data of 2 000 cases of tracheobronchial foreign bodies in children were retrospectively analyzed, including children's age, diagnosis, type and site of foreign bodies, imaging examination, type of anesthesia and surgical approach. Results Of all cases, 72.5% occurred in children aged 1-3; 82.5% foreign bodies were plant-based; 52.4% foreign bodies were found in the right main bronchus; 98.7% result of 3D reconstruction of CT was confirmed, which was significantly higher than that of chest X-ray (82%, P<0.01). After operation, 1 985 cases were cured, of which 1 976 cases received general anesthesia and 9 received local anesthesia; 15 cases died. Conclusion There is high incidence of tracheobronchial foreign bodies in children. Timely diagnosis, accurate imaging examination, and timely surgical treatment can effectively reduce the misdiagnosis rate and mortality. Positive and effective health promotion is the key to prevent the occurrence of tracheal foreign bodies in children.

Key words: Bronchi, Child, Trachea, Foreign bodies

中图分类号: 

  • R768.13
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