全麻下取气管异物48例临床分析

An analysisof 48 cases foreign bodiesrem ovalfrom the trachea under generalanesthesia

目的 提高全麻下取气管异物安全性和成功率的再认识，正确选择其适应证和方法。方法 按病史长短、异物性质及部位，统计１０ 年全麻下取气管异物４８ 例。结果 占同期气管异物的０．８５％ ，病史２ 天至１ 年，３１ 例在１ 个月以上，４ 例１ 年以上。按性质分类：化学性异物１４ 例，植物性异物２８ 例，金属性异物６ 例。按部位分类：正气管３ 例，左支气管２０ 例，右支气管２５ 例。４８ 例中取出异物４５ 例，未取出３ 例。结论 特殊复杂异物在全麻下取出极其安全，临床上要正确选择全麻下取气管异物的适应证及其方法。

Objective To im prove recognition of clinicalsecuraty and success rate and choose correctly indication, w ay to foreign body rem ovalfrom the trachea undergeneralanesthesia.Meth- ods Sum m arize 48 cases for foreign bodies oftrachea to be rem oved under generalanesthesia in 1984～1995 as the m edicalhistory, feature, position.Results It m akes the 0.85% in the sam e period, the m edicalhistory from 2 day to one year. In these cases, over one m onth is 31, over 1 year is 4. Am ong 48 cases, chem icalbodies are 14; plant bodies are 28; m etallic bodies are 6; 3 cases are in the trachea , 20 cases are in the leftbronchus; 25 cases are in the rightbronchus. 45 cases have been rem oved; 3 caseshave notbeen yet.Conclusion Itis very secure, reliable to re- m ove specialcom plicated foreign body and itis im portantto choose correctly its indication, option under generalanesthesia in the clinic.