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目的:探讨高度危险及取出难度大的呼吸道异物的处理方法。方法:回顾性分析2003-01-2016-11期间3 330例呼吸道异物患儿的资料,其中高危疑难异物205例,异物种类主要有塑料笔帽、塑料或玻璃灯珠、动物骨、金属物体、大块花生等。结果:175例直接用支气管镜取出,28例二次使用纤维支气管镜取出,1例气管镜未取出后转胸外科开胸取出,1例死亡。结论:处理高危疑难呼吸道异物时要有充分的术前准备或极快的反应速度,选择合适的器械和手术及麻醉方法,才能顺利取出异物并尽可能减少并发症的发生。
Objective: To explore the treatment of high risk and difficult to remove foreign body of the respiratory tract. Methods: The data of 3 330 children with foreign bodies of respiratory tract during 2003-01-2016-11 were retrospectively analyzed. There were 205 cases of high-risk and difficult-to-treat foreign bodies. There were mainly plastic caps, plastic or glass lamp beads, animal bones, metal objects, Peanuts and other blocks. Results: 175 cases were directly removed with bronchoscopy, 28 cases with second use of bronchoscopy, 1 case without bronchoscopy and thoracotomy thoracotomy removed, and 1 case died. Conclusion: The preparation of high-risk difficult respiratory tract foreign body should have adequate preoperative preparation or fast response speed, select the appropriate equipment and surgery and anesthesia in order to successfully remove foreign body and minimize the occurrence of complications.