摘要
目的分析儿童气管支气管异物的临床特点，减少儿童气管支气管异物的误诊、漏诊率。方法回顾性分析885例气管支气管异物患儿的临床资料，对其临床特点进行分析。结果经纤维支气管镜及临床确诊885例气管支气管异物儿童，好发年龄段为1—3岁，右、左侧气道发病之比为1．05：1。气管支气管异物常见并发症有肺气肿、肺炎及肺不张。气管支气管异物种类繁多，以花生、瓜子等坚果类最多见。结论儿童气管支气管异物发生率很高，我们要重视临床病史，提高对气管支气管异物复杂多样的临床表现的认识，减少误诊、漏诊及治疗延误的发生率。
Objective To analyze the clinical features of children with tracheal and bronchial foreign bodies aspiration （FBA） and decrease the rate of misdiagnosis and missed diagnosis. Methods The clinical data of 885 cases of children with tracheal and bronchial FBA were analyzed retrospectively regarding the clinical characteristics. Results All the 885 cases of children were confirmed with tracheal and bronchial FBA by bronchoscopy and clinical diagnosis. Most cases were in the range of 1 to 3 years of age. The ratio of fight and left airway FBA was 1.05：1. The common complications of tracheal and bronchial FBA were emphysema, pneumonia, and ateleetasis. The types of foreign bodies were diversifiable and the most common ones were peanuts and sunflower seeds. Conclusion Pediatric tracheal and bronchial FBA is associated with a high rate of mortality. We must pay special attention to the clinical history, improve the understanding of the complex and varied clinical manifestations, decrease the rate of misdiagnosis, missed diagnosis and delay of treatment of tracheal and bronchial FBA.
出处
《徐州医学院学报》
CAS
2014年第11期779-781,共3页
Acta Academiae Medicinae Xuzhou
关键词
气管支气管异物
儿童
并发症
tracheal and bronchial foreign body
children
complications
