小儿气管、支气管异物1524例

Clinical analysis of 1 524 cases with tracheo-bronchial foreign body

目的探讨小儿气管、支气管异物围手术期治疗的经验教训。方法回顾1524例患儿气管、支气管异物患儿病例资料,分析围手术期出现严重并发症的原因,总结经验。结果 1524例中死亡4例,异物取出经气管切开囗处5例,自行咳出32例,其余均行支气管镜检顺利取出。结论实施术前评估,建立应急机制,采用适时有效的围手术期抢救和治疗措施,是降低病死率和并发症的重要保证。

Objective To explore the experiences and lessons from peri-operative treatment of a tracheo-bronchial foreign body（TBFB）in children. Methods Clinical data of 1524 children cases with tracheo-bronchial foreign bodies,from Jan.1979 to Dec.2009 in Wengdeng Central Hospital of Weihai,were reviewed. Causes of serious peri-operative complications were analyzed and clinical experiences and lessons were summarized. Results In 1524 cases,there were 4 death. The foreign bodies were removed from incisional openings in 5 cases and coughed out in 32 cases. The rest were successfully taken out under a tracheoscope. Conclusion Preoperative evaluation,emergency response protocol,timely and effective peri-operative treatment are the most important measures to reduce mortality and complications.