Introduction: Foreign body aspiration is not uncommon in children. It can be associated with significant morbidity and mortality. This study aims to determine and analyze the characteristics of local pediatrics airway...Introduction: Foreign body aspiration is not uncommon in children. It can be associated with significant morbidity and mortality. This study aims to determine and analyze the characteristics of local pediatrics airway foreign body (FB) aspiration. Methods: A retrospective study of medical records from KK hospital (1997-2010) is done. Patient demographics, clinical/investigative findings, duration of hospitalization and complications are analyzed. Results: The sample consisted of 26 patients (eight months - 13 years of age), who underwent rigid bronchoscopy for FB removal over the last 13 years. Seventy-seven percent were three years of age or younger. Peak incidence (61.6%) was at one to two years of age. Nineteen were males and seven were females. The top three clinical presentations were: cough (61.5%), choking (46.2%) and wheezing (42.3%). Decreased air entry (34.6%), tachypnea (26.9%) and no significant findings (23.1%) were the most common features on physical examination. The most common radiographic findings were consolidation (30.8%), presence of a foreign body (23.1%) and no abnormality (23.1%). Aspiration was primarily into the right main bronchus (38.5%), and 61.5% of the FB was organic in nature [principally peanuts (38.5%)]. Mean hospitalization duration was three days. Delayed diagnose in three cases were secondary to mis-diagnoses as croup (n = two) and respiratory tract infection (n = one). Complications were noted in eight cases (30.8%). There was no mortality. Conclusion: High index of suspicion is required in diagnosing airway FB. Physician’s diagnostic acumen is vital in prompt successful treatment. Heightening public’s awareness is the key to prevention of pediatrics FB aspiration.展开更多
Purpose:This study aimed to analyze the clinical characteristic of different foreign body injuries in children and offer the preventions.Methods:A retrospective study and the demographic information, injury causes, fo...Purpose:This study aimed to analyze the clinical characteristic of different foreign body injuries in children and offer the preventions.Methods:A retrospective study and the demographic information, injury causes, foreign body injury types and other clinical factors were recorded and analyzed.Results:Of the 2999 patients, 1877 (62.6%) were boys and 1122 (37.4%) were girls. The majority (72.8%, n= 2184) of the injuries were found in 1-3 years old children. The most common anatomical site was the respiratory tract (73.4%, n = 2201) followed by the digestive tract (18.6%, n = 558), the genitourinary tract (1.93%, n = 58) and other sites (6.07%, n = 182). There were 60.4% of the in-patients from rural areas and 53.2% of the patients without medical insurance, the rate of cost by medical insurance increased with age. The medians of length of hospital stay and hospitalization cost were four days and 4767.3 CNY respectively. Most of the patients had surgical treatment (90.6%, n = 2717) and 64.9% of them had the complications (n = 1946). The cure rates of the all foreign body injuries types were above 90%, especially in genitourinary tract (98.3%).Conclusion:Different types of the foreign body injuries had dissimilar clinical characteristics. The effective prevention and control measures should be taken according to the variety of high-risk population, incidence season and foreign body injury types.展开更多
目的分析急诊急救护理路径优化在婴幼儿气道异物阻塞卡喉中的应用价值。方法选取2020年11月至2022年7月收治的气道异物阻塞卡喉患儿56例,按随机数字表法分为对照组和观察组,各28例,常规急诊急救护理路径干预为对照组,优化急诊急救护理...目的分析急诊急救护理路径优化在婴幼儿气道异物阻塞卡喉中的应用价值。方法选取2020年11月至2022年7月收治的气道异物阻塞卡喉患儿56例,按随机数字表法分为对照组和观察组,各28例,常规急诊急救护理路径干预为对照组,优化急诊急救护理路径干预为观察组,比较两组急救相关指标、并发症及家属满意度。结果观察组抢救及住院时间短于对照组,抢救5 min Apgar评分高于对照组(P<0.05);观察组家属满意度高于对照组,并发症发生率低于对照组(P<0.05);两组均经支气管镜钳取出异物,并最终治愈出院,成功率为100.00%,组间无统计学意义(P>0.05),对照组2例患儿因异物嵌顿声门出现Ⅳ度呼吸困难需开展呼吸机治疗,其他患儿均病情稳定。结论经优化急诊急救护理路径干预能有效缩短气道异物阻塞卡喉患儿急救时间,减少并发症发生,改善其预后,患儿家属较满意。展开更多
文摘Introduction: Foreign body aspiration is not uncommon in children. It can be associated with significant morbidity and mortality. This study aims to determine and analyze the characteristics of local pediatrics airway foreign body (FB) aspiration. Methods: A retrospective study of medical records from KK hospital (1997-2010) is done. Patient demographics, clinical/investigative findings, duration of hospitalization and complications are analyzed. Results: The sample consisted of 26 patients (eight months - 13 years of age), who underwent rigid bronchoscopy for FB removal over the last 13 years. Seventy-seven percent were three years of age or younger. Peak incidence (61.6%) was at one to two years of age. Nineteen were males and seven were females. The top three clinical presentations were: cough (61.5%), choking (46.2%) and wheezing (42.3%). Decreased air entry (34.6%), tachypnea (26.9%) and no significant findings (23.1%) were the most common features on physical examination. The most common radiographic findings were consolidation (30.8%), presence of a foreign body (23.1%) and no abnormality (23.1%). Aspiration was primarily into the right main bronchus (38.5%), and 61.5% of the FB was organic in nature [principally peanuts (38.5%)]. Mean hospitalization duration was three days. Delayed diagnose in three cases were secondary to mis-diagnoses as croup (n = two) and respiratory tract infection (n = one). Complications were noted in eight cases (30.8%). There was no mortality. Conclusion: High index of suspicion is required in diagnosing airway FB. Physician’s diagnostic acumen is vital in prompt successful treatment. Heightening public’s awareness is the key to prevention of pediatrics FB aspiration.
文摘Purpose:This study aimed to analyze the clinical characteristic of different foreign body injuries in children and offer the preventions.Methods:A retrospective study and the demographic information, injury causes, foreign body injury types and other clinical factors were recorded and analyzed.Results:Of the 2999 patients, 1877 (62.6%) were boys and 1122 (37.4%) were girls. The majority (72.8%, n= 2184) of the injuries were found in 1-3 years old children. The most common anatomical site was the respiratory tract (73.4%, n = 2201) followed by the digestive tract (18.6%, n = 558), the genitourinary tract (1.93%, n = 58) and other sites (6.07%, n = 182). There were 60.4% of the in-patients from rural areas and 53.2% of the patients without medical insurance, the rate of cost by medical insurance increased with age. The medians of length of hospital stay and hospitalization cost were four days and 4767.3 CNY respectively. Most of the patients had surgical treatment (90.6%, n = 2717) and 64.9% of them had the complications (n = 1946). The cure rates of the all foreign body injuries types were above 90%, especially in genitourinary tract (98.3%).Conclusion:Different types of the foreign body injuries had dissimilar clinical characteristics. The effective prevention and control measures should be taken according to the variety of high-risk population, incidence season and foreign body injury types.
文摘目的分析急诊急救护理路径优化在婴幼儿气道异物阻塞卡喉中的应用价值。方法选取2020年11月至2022年7月收治的气道异物阻塞卡喉患儿56例,按随机数字表法分为对照组和观察组,各28例,常规急诊急救护理路径干预为对照组,优化急诊急救护理路径干预为观察组,比较两组急救相关指标、并发症及家属满意度。结果观察组抢救及住院时间短于对照组,抢救5 min Apgar评分高于对照组(P<0.05);观察组家属满意度高于对照组,并发症发生率低于对照组(P<0.05);两组均经支气管镜钳取出异物,并最终治愈出院,成功率为100.00%,组间无统计学意义(P>0.05),对照组2例患儿因异物嵌顿声门出现Ⅳ度呼吸困难需开展呼吸机治疗,其他患儿均病情稳定。结论经优化急诊急救护理路径干预能有效缩短气道异物阻塞卡喉患儿急救时间,减少并发症发生,改善其预后,患儿家属较满意。
