185例儿童咽喉部异物临床分析

Clinical analysis of 185 cases of laryngeal foreign bodies in children

目的 总结分析儿童咽喉部异物的临床特点,为儿童咽喉部异物的病情评估、取出方法及预后提供指导和帮助。方法 回顾性分析2021年5月—2023年5月185例儿童咽喉部异物患儿的临床资料,分析并总结不同年龄、不同类型、不同位置的儿童咽喉部异物取出经验。结果 儿童咽喉部异物中男性患儿多于女性患儿;异物类型依次为鱼刺、木签、禽骨;异物位置多见于双侧扁桃体、会厌谷、舌根;门诊取出异物67例,全麻手术下取出异物118例。结论 对怀疑存在咽喉部异物的儿童,应仔细询问病史,完善相关检查,门诊难以取出的异物,如患儿症状明显尽早全麻下行异物取出术,以减少并发症的发生。

Objective To summarize and analyze the clinical characteristics of foreign bodies in children’s laryngeal,it will provide guidance and help for the condition assessment and removal of foreign bodies,and prognosis analysis of foreign bodies in children’s laryngeal.Methods It was retrospectively analyzed for the clinical data of 185 children with foreign bodies in the laryngeal from May 2021 to May 2023.This report analyzed and summarized the experience of foreign body removal in laryngeal of children of different ages,different types and different locations.Results There are more males than females in children with foreign bodies in the laryngeal.The foreign bodies were mostly fish bones,wooden sticks and avian bones.The location of foreign bodies was found more common in bilateral tonsils,epiglottis valley and rear of the tongue.Foreign bodies were removed in 67 outpatients and 118 under general anesthesia.Conclusions Children with suspicions of throat foreign bodies be carefully asked about their medical history and improve relevant examinations.Pediatric patients are difficult to be removed foreign bodies from their laryngeal in outpatient clinics.Children with obvious symptoms should be removed as soon as possible under general anesthesia to reduce the occurrence of complications.