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成人气管异物临床治疗的回顾性研究
引用本文:刘鹤,张立强,何海贤,孙睿杰,徐豪杰,王学海,陈成芳,张海燕,李学忠. 成人气管异物临床治疗的回顾性研究[J]. 山东医大基础医学院学报, 2007, 0(1)
作者姓名:刘鹤  张立强  何海贤  孙睿杰  徐豪杰  王学海  陈成芳  张海燕  李学忠
作者单位:山东大学齐鲁医院耳鼻喉科 山东济南250012(刘鹤,张立强,孙睿杰,徐豪杰,王学海,陈成芳,李学忠),中国人民解放军61849部队 广东佛山528248(何海贤),山东省立医院耳鼻喉科 山东济南250021(张海燕)
摘    要:
目的:探讨成人气管异物的临床特点、处理经验与教训。方法:总结山东大学齐鲁医院1996年10月至2006年5月间收治的成人气管异物资料30例。结果:异物种类多样,以假牙和植物性异物居多。1例于直达喉镜下取出;3例急症行气管切开术;4例行硬质支气管镜检查 气管切开术;其余22例行硬质支气管镜检查术取出异物。结论:气管异物发生有一定规律性可循,诊询明确的异物吸入史、典型的临床表现及辅助检查多可确诊,根据异物性质及位置选择采取相应手术方法,一般均能治愈。

关 键 词:气管切开术  异物  成人

Trachobronchial foreign bodies in adult patients: a retrospective analysis
LIU He,ZHANG Li-qiang,HE Hai-xian,SUN Rui-jie,XU Hao-jie,WANG Xue-hai,CHEN Cheng-fang,ZHANG Hai-yan,LI Xue-zhong. Trachobronchial foreign bodies in adult patients: a retrospective analysis[J]. Journal of Preclinical Medicine College of Shandong Medical University, 2007, 0(1)
Authors:LIU He  ZHANG Li-qiang  HE Hai-xian  SUN Rui-jie  XU Hao-jie  WANG Xue-hai  CHEN Cheng-fang  ZHANG Hai-yan  LI Xue-zhong
Affiliation:LIU He1,ZHANG Li-qiang1,HE Hai-xian2,SUN Rui-jie1,XU Hao-jie1,WANG Xue-hai1,CHEN Cheng-fang1,ZHANG Hai-yan3,LI Xue-zhong1
Abstract:
Objective: To investigate the clinical characteristics and experiences of trachobronchial foreign bodies in adult patients.Methods: The clinical data of 30 cases admitted between October 1996 and May 2006 were retrospectively analyzed.The foreign bodies were varied and mainly were dentures and plants. Results: In one case the foreign body was taken out by direct laryngoscopy,three cases were subjected to emergency tracheotomies,four cases were subjected to rigid bronchoscopies and tracheotomies and the other 22 cases were subjected to rigid bronchoscopies.Conclusion: Trachobronchial foreign bodies are able to be successfully taken out based on their kinds and positions.
Keywords:Tracheotomy  Foreign bodies  Adult
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