小儿气管支气管异物22例临床分析

Clinical Analysis of 22 Children with Tracheal Foreign Body

目的:探讨小儿气管、支气管异物的诊治方法及防治措施。方法:回顾性分析1994年1月至2004年1月本科收治的22例小儿气管、支气管异物取出术病例资料。结果:1例在无麻醉下经直接喉镜取出异物,20例在全麻下经支气管镜成功取出,1例自行咳出,无气管切开,气胸等严重并发症。结论:及时明确诊断和正确处理是小儿气管、支气管异物治疗的关键;提高家长和儿童的安全意识,可降低小儿气管异物的发生率。

Objective: To explore proper operative methods for removal of airway foreign bodies in children and prevention methods. Methods: 22 cases of airway foreign bodies from Jan 1994 to Jan 2004 were analyzed retrospectively. Results: 20 of the 22 airway foreign bodies were removed through tracheobronchoscopy. One was removed through direct laryngoscope without anesthetic, one case hawk up foreign body in bronchus. Conclusion: Definite diagnose and right disposal to foreign body in bronchus is the key of success. It is also important to avoid children occurring airway foreign bodies.