气管支气管异物特殊并发症5例的治疗与分析

Rare complications of tracheabronchial foreign body( 5 cases report)

目的探讨气管支气管异物的特殊并发症治疗与分析。方法回顾性分析943例气管、支气管异物患儿的病历资料,均行支气管镜下异物取出术。异物顺利取出907例,围手术期出现并发症36例。结果围手术期出现特殊并发症5例,包括椎管积气3例、气管食管瘘1例、负压性肺水肿1例。结论针对此类特殊并发症发生原因进行分析,以探讨此类并发症的预防和处理措施,以减少气管支气管异物围手术期并发症发生率,降低死亡率。

Objective To investigate the treatment of some rare complications of tracheobronchial foreign body. Meth- ods Clinical data of 943 cases of tracheal, bronchial foreign bodies in children were reviewed. Among them, foreign body was successfully removed in 907 cases. Complications occurred in 36 cases. Results The complications consisted of 3 cases of pneumatorrhachis , lcase of tracheoesophageal fistula , and lease of negative pressure pulmonary edema. Conclusion Understanding of these rare perioperative complications is important to prevent and reduce the morality and mortality.