JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2015, Vol. 29 ›› Issue (6): 39-42.doi: 10.6040/j.issn.1673-3770.0.2015.303

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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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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

CLC Number: 

  • R768.13
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