婴幼儿喉异物诊治分析

Analysis on diagnosis and treatment of laryngeal foreign body in infants

目的探讨婴幼儿喉异物的诊治方法及误诊原因,提高诊治率,降低误诊率、死亡率。方法回顾性分析我科收治的68例婴幼儿喉异物的临床资料。分析异物部位和种类、检查方法、手术方式、误诊原因等。结果68例患儿均成功取出异物,其中2例行二次手术,无行气管切开或死亡病例。结论提高看护人员及医师对婴幼儿喉异物特点的认识是降低误诊率、死亡率的关键,可疑病例应首选电子喉镜检查,必要时行影像学检查,麻醉及手术方法的选择亦至关重要。

Objective To discuss the diagnosis and treatment of laryngeal foreign body in infants and to analyze reasons of misdiagnosis for improvement of therapeutic rate and decrease of misdiagnosis rate as well as mortality. Methods Clinical data of 68 infants suffering from laryngeal foreign body were analyzed retrospectively. The analyzed data included types and locations of foreign body, inspection method, surgical procedures, and reasons of misdiagnosis. Results Foreign bodies were successfully removed in all 68 cases, including secondary surgical removal in 2 cases. Tracheotomy was performed in none and no deaths occurred. Conclusions To improve the caregivers and physician＇s awareness of features of the laryngeal foreign body in infants is essential to lower the misdiagnosis rate and mortality. When coming across suspected cases, physicians should diagnose with the help of electronic laryngoscope at first. Imageological examination should be offered if necessary. Choices of proper anesthesia and surgical methods are also very important.