山东大学耳鼻喉眼学报 ›› 2010, Vol. 24 ›› Issue (6): 53-57.

• 论文 • 上一篇    下一篇

小儿气管、支气管异物1524例

于海清,赵伟霞   

  1. 威海市文登中心医院耳鼻咽喉科,山东  文登  264400
  • 收稿日期:2010-06-25 修回日期:2010-07-25 发布日期:2010-12-16
  • 作者简介:于海清,男,副主任医师,主要从事耳鼻咽喉头颈外科临床研究。Email:yuhaiqing1818@163.com

Clinical analysis of 1524 cases with tracheobronchial foreign body

YU Hai-qing, ZHAO Wei-xia   

  1. Department of the Otorhinolaryngology, Wengdeng Central Hospital of Weihai, Wendeng 264400, Shandong, China
  • Received:2010-06-25 Revised:2010-07-25 Published:2010-12-16

摘要:

目的    探讨小儿气管、支气管异物围手术期治疗的经验教训。方法    回顾1524例患儿气管、支气管异物患儿病例资料,分析围手术期出现严重并发症的原因,总结经验。结果    1524例中死亡4例,异物取出经气管切开囗处5例,自行咳出32例,其余均行支气管镜检顺利取出。结论    实施术前评估,建立应急机制,采用适时有效的围手术期抢救和治疗措施,是降低病死率和并发症的重要保证。

关键词: 异物;气管;支气管;儿童;死亡;硬质支气管镜

Abstract:

Objective    To explore the experiences and lessons from peri-operative treatment of a tracheo-bronchial foreign body(TBFB)in children. Methods    Clinical data of 1524 children cases with tracheo-bronchial foreign bodies,  from Jan.1979 to Dec.2009 in Wengdeng Central Hospital of Weihai, were reviewed. Causes of serious peri-operative complications were analyzed and clinical experiences and lessons were summarized. Results    In 1524 cases, there were 4 death. The foreign bodies were removed from incisional openings in 5 cases and coughed out  in 32 cases . The rest were successfully taken out under a tracheoscope. Conclusion    Preoperative evaluation, emergency response protocol, timely and effective peri-operative treatment are the most important measures to reduce mortality and complications.

Key words: Foreign body;Trachea;  Bronchus; Children;  Death;  Rigid bronchoscopy

中图分类号: 

  • R768.13
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