山东大学耳鼻喉眼学报

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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
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