儿童气管异物的诊疗要点

王桂香; 刘世琳; 张亚梅

doi:10.13201/j.issn.1001-1781.2013.15.001

儿童气管异物的诊疗要点

- 首都医科大学附属北京儿童医院耳鼻咽喉头颈外科北京市耳鼻咽喉头颈科重点实验室(北京, 100045)

详细信息

通讯作者: 张亚梅,E-mail:Yameizhang25@126.com

中图分类号: R768.1

收稿日期: 2012-09-27

Diagnosis and treatment of trachea foreign bodies in children

- Department of Otorhinolarynoglogy Head and Neck Surgery, Beijing Children's Hospital, Capital Medical University;Beijing Key Laboratory of Otorhinolaryngology Head and Neck Surgery, Beijing, 100045, China

More Information

Corresponding author: ZHANG Yamei, E-mail: Yameizhang25@126.com

Received Date: 27 September 2012

摘要

摘要: 目的:探讨儿童气管异物的诊断及鉴别诊断,治疗及急救要点。方法:回顾性分析行气管异物取出术的164例患儿的临床资料。结果:163例患儿于气管镜下手术取出异物;余1例患儿异物为图钉,气管镜下取出困难,经气管切开术取出异物。植物性异物158例,塑料异物5例及图钉1例。除1例术后出现皮下纵隔气肿,治疗后痊愈外,其他均无明显并发症发生。132例患者术后3d复查胸透或电子气管镜均未见异物残留。结论:对于气管异物应根据病史及体格检查作出快速判断。拍击音对诊断气管异物有高度特异性。在诊断气管异物方面电子气管镜检查相对胸透有更高的准确性。
- 气管异物 /
- 儿童 /
- 诊断 /
- 电子气管镜
Abstract: Objective:To discuss the diagnosis,differential diagnosis,treatment and first aid treatment of trachea foreign bodies in children.Method:One hundred and sixty-four patients,who were operationed with the diagnosis of trachea foreign bodies were retrospectively analyzed.Result:The foreign bodies were successfully removed through the rigid bronchoscope in 163 patients and through the incision of tracheotomy in 1 patient.No post-operation complication in 163 patients except 1 patient with subcutaneous and mediastinum emphysema.No foreign body remained by the examination of perspective X-ray or electronic bronchoscope three days post-operation.Conclusion:History of foreign body aspiration and physical examination were significant important in diagnosis of trachea foreign bodies.The diagnosis must be made quickly based on the history and physical examination.The clapping sound has high specially in diagnosis of trachea foreign bodies.The electronic bronchoscope has a better accuracy in diagnosis of trachea foreign bodies than radiographic examination.
- trachea foreign bodies /
- children /
- diagnosis /
- electronic bronchoscope

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参考文献(6)

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