| 曹芳,方识进,华山,等.电子纤维支气管镜治疗小儿气管支气管异物 101例临床疗效分析[J].安徽医药,2020,24(2):370-372. |
| 电子纤维支气管镜治疗小儿气管支气管异物 101例临床疗效分析 |
| Clinical efficacy analysis of electronic fiberoptic bronchoscopy for the treatment of tracheobronchial foreign bodies in 101 children |
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| DOI：10.3969/j.issn.1009?6469.2020.02.041 |
| 中文关键词: 异物/外科学 气管 支气管镜检查 气管狭窄 儿童 气管异物 |
| 英文关键词: Foreign bodies/surgery Trachea Bronchoscopy Tracheal stenosis Child Tracheal foreign body |
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| 中文摘要: |
| 目的探讨电子纤维支气管镜治疗小儿气管支气管异物的临床效果。方法选取 2016年 1月至 2018年 10月安徽医科大学附属安徽省儿童医院收治的气管支气管异物病儿 101例，术前均行咪达唑仑镇定、利多卡因表面麻醉后，经电子纤维支气管镜钳取异物治疗，分析其相关临床资料及治疗效果。结果经电子纤维支气镜成功取出气管支气管异物病儿 98例，成功率 97.03%，一次性操作取出异物 91例( 92.86%)2次及以上取出异物 7例( 7.14%)。异物以植物类为主( 88例)占 87.13%，以花生、瓜子最为常见；吸入异物的部位右侧 55(54.46%)左侧 42例( 41.58%)，双侧支气管 3例( 2.97%)， 位于声门下例，1例，(0.99%)；术前 98例病儿行肺部 CT检查确诊 72例( 73.47%101例病儿术中、术后均无明显呼吸困难、喉痉挛、咯血及声嘶等)。，并发症。结论电子纤维支气管镜可有效诊治病儿近端及远端气管支气管异物导致的肺炎、肺不张等并发症，安全有效，减轻并降低病儿远期痛苦，有逐渐取代五官科硬支气管镜取气道异物的趋势，临床可作为诊治气道异物首选方法。 |
| 英文摘要: |
| Objective To analyze the clinical therapeutic effect by electronic fiberoptic bronchoscopy for the treatment of tracheo?bronchial foreign bodies in 101 children.Methods One hundred and one children with tracheobronchial foreign body admitted tothe department of respiratory medicine of Anhui Medical University Affiliated Anhui Children’s Hospital from January 2016 to Oc?tober 2018 were selected.All patients were treated with midazolam sedation and lidocaine surface anesthesia before the operation， and the foreign body was treated by electronic fiberoptic bronchoscopy.The related clinical data and treatment effect were analyzed.Results 98 children with tracheobronchial foreign body disease were successfully removed through electronic fiberoptic bronchos? copy，and the success rate is 97.03%.The removal of foreign body by one-time operation:91 cases(92.86%)2 times or over re? moval of foreign body:7 cases(7.14%).The foreign bodies were mainly plants(88 cases)，accounting for 87.13%，a，nd peanuts and melon seeds were the most common；there were 55 cases(54.46%) on the right side of the inhaled foreign body，42 cases(41.58%)on the left side，3 cases(2.97%)on both sides of the bronchus，and 1 case(0.99%)under the glottis；72(73.47%)of the 98 cases were confirmed by lung CT examination before operation.There were no obvious complications such as dyspnea，laryn? geal spasm，hemoptysis and hoarseness during and after operation in 101 children.Conclusion Electronic fiberoptic bronchoscopy can effectively diagnose and treat pneumonia，atelectasis and other complications caused by proximal and distal tracheobronchial foreign bodies in children，is safe and effective，and it can relieve and reduce the long-term pain of children，there is a tendency to replace rigid bronchoscope in the department of ent to pick up foreign body in the airway，which can be used as the preferred meth? od for the diagnosis and treatment of foreign body in the airway. |
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