临床小儿外科杂志2017，Vol.16Issue(2)：174-177,181,5.DOI:10.3969/j.issn.1671-6353.2017.02.016
儿童呼吸道异物早晚期诊断与异物类型、部位及并发症的关系研究
Relationship between types of foreign body and early diagnosis and complications of foreign body aspiration in children
摘要
Abstract
Objective To determine the relationship of foreign body (FB) types in early diagnosis,complications and prognosis of children with suspected FB aspiration.Methods The medical records of 2,773 children with an early and late diagnosis (within 24 h and after 24 h) were analyzed retrospectively.Types of FB and complications were compared between two groups.Results The proportion of metal FB was much higher than that of botanic FB (x2 =47.125,P ＜ 0.05).The most common complications included pneumonia (43.43％),emphysema (27.62％),pulmonary atelectasis (3.37％),pulmonary consolidation (0.63％) and pneumothorax (0.67％).The inter-group rate of pneumonia and emphysema had difference of statistical significance (P ＜ 0.001).Among them,FBs of 19 pneumothorax patients belonged to nuts.Only 1 patient died postoperatively due to endogenous foreign body.Nine patients had such postoperative complications as pneumonedema and pneumothorax.Four reoperated patients had nuts.Seventeen patients of FBs in tracheal and bilateral bronchus were transferred into intensive care unit due to acute respiratory dysfunction (ARD) and the type of FB was nuts.Conclusions Location of FB is a critical factor of early diagnosis of foreign body aspiration in children.Most cases of FB aspiration are difficult to diagnose due to common scene,types of FB and location of FB.The longer courses of disease,more complications.Patients of FBs in tracheal and bilateral bronchus complicated with pneumonia and pneumothorax have an elevated risk of ARD.关键词
儿童呼吸道异物/异物类型/并发症/早期诊断Key words
Foreign Body Aspiration in Children/Type of Foreign Body/Complications/Early Diagnosis引用本文复制引用
黄敏,彭湘粤,赵斯君,陶礼华,吴欢欢..儿童呼吸道异物早晚期诊断与异物类型、部位及并发症的关系研究[J].临床小儿外科杂志,2017,16(2):174-177,181,5.基金项目
湖南省卫生厅一般项目(B2015-123) （B2015-123）
湖南省科技厅项目(2016ZK3025) （2016ZK3025）
