222例气道异物临床分析

对222例气道异物临床分析,讨论了误诊与漏诊的原因。X线检查在气道异物诊断断上的作用。气道异物处理中的问题作探讨,认为随时均应作好气管切开的充分准备,对于麻醉的选择宜因人而异,采用静脉复合麻醉加表面麻醉是可取的。

FOREIGN BODIES IN THE ATRWAY: CLINICAL ANALYSIS OF 222 CASES

A series of 222 consecutive cases of foreign bodies in the airway during the Oct,1964-Feb, 1983 are reported.Most of them were under 3 years of age (136 cases, 61%).Two thirds of them (148 cases) were male and one third temale (74 cases). Spasmodic coughing and dyspnea were very common, (97.3%). Surgical operations were performed on 214 cases. Among them, 142 cases (66.4%) used general anesthesia, 68 cases(31.8%)local anesthesia and 4 cases (1.8%) without any anesthesia. Before August 1981, about half of the patients were treated by tracheotomy with endoscope to pick out the foreign body. After that, as the operation facility and technical conditions improved, the necessity of applying tracheotomy was reduced from 50% to 17. 8%.The mortality was 2.3% (5 cases). Misdiagnosis, radiologic aid in diagnosis and problems in management are discussed in detail. For the sake of safety, prompt tracheotomy should be emphasized. Anesthesia should be considered individually, intravenous anesthesia aid with permeated anesthesia may be the best choice.