小儿气管支气管异物56例分析

目的探讨提高小儿气管、支气管异物(TBFB)治疗效果的方法。方法对56例确诊的小儿TBFB的临床资料进行回顾性分析。结果采用无麻醉取出异物3例,用1%利多卡因或丁卡因表面麻醉直接喉镜下取出声门下后气管内异物10例,采用全身麻醉下取出异物43例,56例异物均顺利取出。术中出现不同程度喉痉挛、气管反射24例,出现严重喉梗阻4例。结论诊断明确是救治小儿TBFB的关键,全身麻醉下支气管镜手术是目前呼吸道异物取出的主要方法。

Clinical analysis of 56 children with tracheo-broncheal foreign body

Objective To discuss the rational methods of treatment for tracheo-broncheal foreign body(TBFB) in children and to enhance the operative efficacy.Methods The clinical data of identified 56 TBFB children were retrospectively analyzed. The operations of foreign bodies, including of non-anethesia in 3 cases, direct laryngoscopic operations by local anesthesia with 1% lidocaine or tetracaine in 10 children with infraglottic and behind tracheoal foreign bodies,and operations under general anesthesia in 43 patients were performed.Results The foreign boddies of 56 children were successfully taken out. During operations, different degrees of laryngiosmus and trachea reflect occurred in 24 cases, respiratory and cardial arrest occurred in 4 cases and were all resuscitation successfully.Conclusion The definite diagnosis and chose proper operative method are key for successful operation in TBFB children.