小儿下呼吸道异物500例临床分析

目的探讨小儿下呼吸道异物手术时机及方法。方法选取我院2005年6月～2009年6月收治的经术后确诊为呼吸道异物且资料齐全的500例患者,就其治疗方面的有关问题进行临床分析。结果纤维支气管镜取出4例（0.8%）;开胸手术取出2例（0.4%）;气管切开从气管切开口导入内镜或硬支气管镜取出20例（4%）;经直达喉镜取出32例（6.4%）;经硬管支气管镜一次完全取出436例（87.2%）,两次完全取尽者6例（1.2%）。结论根据异物种类及存留时间、位置等采取不同的手术方法,以最小的损伤取得最好的治疗效果。

Clinical analysis on 500 children with tracheobronchial foreign bodies

OBJECTIVE To investigate the opportunity and method of surgery for removing tracheobronchial foreign bodies. METHODS A retrospective study was carried out among 500 children with tracheobronchial foreign bodies treated in our hospital from June, 2005 to June, 2009. RESULTS The foreign bodies were successfully removed in 4（0.8%） patients with fiberoptic-bronchoscopy, 2（0.4%） patients with thoracotomy, 20（4%）patients with endoscope or rigid bronchoscopy via tracheostomy, 32（6.4%） patients with direct laryngoscopy, 436（87.2%）patients with rigid bronchoscopy . There were 6 patients （1.2%） need another operation to fully remove the foreign bodies. CONCLUSION Proper method should be choose for removing tracheobronchial foreign bodies according to the history, location and kind of the foreign bodies.