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摘要: 目的：探讨高度危险及取出难度大的呼吸道异物的处理方法。方法：回顾性分析2003-01-2016-11期间3 330例呼吸道异物患儿的资料，其中高危疑难异物205例，异物种类主要有塑料笔帽、塑料或玻璃灯珠、动物骨、金属物体、大块花生等。结果： 175例直接用支气管镜取出，28例二次使用纤维支气管镜取出，1例气管镜未取出后转胸外科开胸取出，1例死亡。结论：处理高危疑难呼吸道异物时要有充分的术前准备或极快的反应速度，选择合适的器械和手术及麻醉方法，才能顺利取出异物并尽可能减少并发症的发生。Abstract: Objective: To explore the treatment of the high-risk and complicate foreign bodies in respiratory tract.Method: Retrospective analysis of 3 330 cases of respiratory foreign bodies were performed, from 2003 January to 2016 November, including 205 cases of high-risk and complicate cases, foreign bodies including plastic caps, plastic or glass lamp beads, animal bones, metal objects, and foreign bodies such as peanuts.Result: In one hundred and seventy-five cases, foreign bodies were taken out directly by hard bronchoscope, in twenty-eight cases, foreign bodies were removed by fiberoptic bronchoscope, one case of foreign body was removed with thoracotomy and one case of foreign body died.Conclusion: To treat high-risk foreign bodies in respiratory tract, sufficient preoperative preparation or rapid response are both important, including selecting the appropriate equipment, surgery and anesthesia, in order to successfully remove the foreign body and minimize complications.
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Key words:
- foreign body /
- respiratory tract /
- treatment
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