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目的探讨老年呼吸道异物的临床特点及围手术期处理方法。方法回顾性分析9例老年呼吸道异物患者的临床资料,总结此类患者临床特点及恰当的围手术期处理方案。结果 9例中4例首诊于呼吸内科,其中3例行纤维支气管镜检查确诊后转入我科;在表面麻醉加静脉复合麻醉下经口行支气管镜检查取出7例,在表面麻醉下经气管切开口行支气管镜术取出2例,术后无并发症发生。结论老年人肺部感染性病变经抗感染治疗后反复不愈者,应警惕呼吸道异物;CT扫描有助于老年呼吸道异物的诊断;支气管镜术是治疗老年呼吸道异物的主要方法。
Objective To investigate the clinical characteristics of elderly respiratory tract foreign body and perioperative management. Methods The clinical data of 9 elderly patients with foreign bodies in the respiratory tract were retrospectively analyzed. The clinical features and appropriate perioperative management of these patients were summarized. Results Of the 9 cases, 4 cases were diagnosed first in respiratory medicine, 3 cases were diagnosed by fiberoptic bronchoscopy and transferred to our department. Seven cases underwent oral bronchoscopy with surface anesthesia plus intravenous anesthesia, and under surface anesthesia Tracheotomy bronchoscopy removed 2 cases, no postoperative complications. CONCLUSIONS: Pulmonary infections in the elderly patients with respiratory infection after repeated treatment of non-infection should be alert to foreign body; CT scan is helpful in the diagnosis of foreign body airway; bronchoscopy is the main method of treatment of foreign airway in the elderly.