电子支气管镜诊治儿童气管支气管异物的临床价值

Clinical value of electronic bronchoscope diagnosis and treatment of children tracheal bronchus foreign body

目的分析儿童气管支气管异物的临床特点、诊断及治疗作用，探讨电子支气管镜在儿童气管支气管异物诊治中的价值。方法选择该院2014年3月-2016年3月605例气管支气管异物患儿的临床资料进行回顾性分析。结果儿童气管支气管异物以1～3岁患儿居多（84.63%），与其他年龄段比较差异具有统计学意义，男女之比为2∶1。农村患儿516例，占85.29%，差异有统计学意义（P 〈0.01）。好发部位：右侧支气管（49.42%）略高于左侧（42.14%）；以植物性异物居多（76.52%）；症状主要为咳嗽、喘息、发热；20例硬质支气管镜未能取出的深部异物也经电子气管镜成功取出。结论电子支气管镜是诊断及治疗儿童气管支气管异物安全有效的方法，是深部支气管异物及硬质气管镜无法取出异物的有效治疗手段，值得推广。

ObjectiveTo analyze the clinical characteristics of children trachealbronchus foreign body, diagnosis and treatment; explore the electronic bronchoscope application value of diagnosis and treatment of trachealbronchus foreign bodies in children. Methods605 cases of tracheal bronchus foreign body in children were retrospectively analyzed from March 2014 to March 2016. Results1 to 3 years old children are the most prone to tracheal bronchus foreign matter （84.63 %）, with significant difference compared with other age groups, male and female ratio of 2∶1. Rural children with 516 cases, accounting for 85.29 %, the difference was statistically significant （P 〈0.01）. Location： right bronchus （49.42 %）, slightly higher than the left （42.14 %）. In the majority with plant-based foreign body （82.67 %）; Symptoms mainly for cough, wheezing, fever; 20 cases of rigid bronchoscope failed to remove deep foreign body was removed under local anesthesia. ConclusionsElectronic bronchoscope is a safe effective method used to diagnosis and treatment of children tracheal bronchus foreign bodies, as well as effective treatments to take out the deep foreign bodies and rigid bronchoscope that can’t remove the foreign body. It is worthy of promoting.