小儿气管支气管异物359例临床诊治探讨

目的：探讨小儿气管、支气管异物的临床特点及救治经验,进一步提高救治水平.方法：收集本院1993年1月～2004年12月12年间359例小儿气管、支气管异物取出术病例进行回顾性分析.结果：小儿气管、支气管异物以1～2岁年龄组最常见（67.7%）;植物类异物最常见（92.3%）;经小儿气管镜下取出异物者349例,行气管切开术3例,死亡3例.结论：小儿气管、支气管异物救治的关键是及时明确诊断,准确选择手术时机和麻醉方法,熟练细心的技术操作,特殊异物的正确处理以及术中窒息的及时处理.

Clinical Study of Foreign Bodies in Trachea and Bronchus in 359 Cases

Objective:To analyse the clinical character and explore the improvement of treating foreign bodies in trachea and bronchus.Methods: retrospectively analyse 359 cases of foreign bodies in trachea and bronchus.Results: Foreign bodies in trachea and bronchus were the most common in children aged 1~2 years old(67.7%).Nut and seeds were the majority(92.3%).The foreign bodies were taken out under tracheoscope in 349 cases.Tracheotomy was performed in 3 cases.Three patients died.Conclusion: Prompt and correct diagnosis,skillful operation are critical in the treatment of foreign bodies in trachea and bronchus.