老年人喉内嵌顿性异物临床分析

Analysis of clinical cases of old man with foreign body inlaid inside larynx

目的提高临床对老年人喉内嵌顿性异物发病情况的认识,进而探讨快速、安全的诊治措施。方法回顾分析近10年本科收治的14例喉内嵌顿性异物患者的临床资料。结果14例患者发病年龄在9～71岁,其中12岁以下儿童3例(占21.4%),60岁以上老人6例(占42.9%),其他年龄组(13～60岁)5例(占35.7%)。急诊手术均获得成功,仅有一例作气管切开术。结论喉内嵌顿性异物可以发生于任何年龄组,根据本文提供的临床数据,近些年来老年人的发病率占有相当高的比例。应根据老年人的病理和生理特点,采用相应的诊疗抢救措施,及时应急处理。

Objective To improve the knowledge of the incidence of old man with the foreign body inlaid inside larynx, and to inquire into the rapid and safe diagnostic and treatment measure. Methods Reviewed and analyzed the medical records about the 14 cases with foreign body inlaid larynx in our department near about 10 years. Results The patients suffered from the disease were from 9 to 71 years old, the age proportion： children （〈12 years old） 3 cases （21.4%）,adults（13-60 years old） 5 cases （35.7%）, and old man （〉60 years old） 6 cases （42.9%）. All the patients recovered by removing the foreign body using emergency surgical procedure,only one case took place tracheotomy. Conclusion The disease occurs in any age group, but is rather common in old man. The emergency diagnostic and surgical approaches should be carried out as soon as possible, according the pathological and physiological characteristics of old man.