小儿气管、支气管异物1524例

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

小儿气管、支气管异物1524例

于海清，赵伟霞

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

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/Abstract

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

于海清，赵伟霞. 小儿气管、支气管异物1524例[J]. 山东大学耳鼻喉眼学报, 2010, 24(6): 53-57.

YU Hai-qing， ZHAO Wei-xia. Clinical analysis of 1524 cases with tracheobronchial foreign body[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2010, 24(6): 53-57.

参考文献

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