Abdulmajid O A, Ebeid A M, Motaweh M M, Kleibo I S
Thorax. 1976 Dec;31(6):635-40. doi: 10.1136/thx.31.6.635.
During the last 14 years, 250 patients with aspirated foreign bodies in the tracheobronchial tree were admitted to Kuwait Chest Diseases Hospital. Ninety-six per cent of the cases were under 10 years of age and 38% gave a clear history of foreign body inhalation. The rest were diagnosed either clinically, from the chest radiograph findings or because of unexplained pulmonary symptoms. In 247 cases, bronchoscopy under general anaesthesia was successful in removing the foreign bodies. In only three cases was bronchotomy needed. Seventy per cent of the foreign bodies were melon seeds. Asphyxia and cardiac arrest occurred in four cases during bronchoscopy but the patients were successfully resuscitated. In 10 cases a tracheostomy was done before bronchoscopy and the removal of the foreign body, while in five it was needed after bronchoscopy. Fifteen patients developed late complications such as recurrent pneumonia or atelectasis of the lung. Early diagnosis and adequate treatment are essential to prevent pulmonary and cardiac complications and to avoid radical lung surgery.
在过去的14年里，250例气管支气管树吸入异物的患者被收治于科威特胸科疾病医院。96%的病例年龄在10岁以下，38%有明确的异物吸入史。其余病例通过临床诊断、胸部X光片检查结果或因不明原因的肺部症状而确诊。在247例病例中，全身麻醉下的支气管镜检查成功取出了异物。仅3例需要进行支气管切开术。70%的异物为瓜子。支气管镜检查期间有4例发生窒息和心脏骤停，但患者均成功复苏。10例在支气管镜检查和取出异物前进行了气管切开术，5例在支气管镜检查后需要进行气管切开术。15例患者出现了晚期并发症，如反复肺炎或肺不张。早期诊断和适当治疗对于预防肺部和心脏并发症以及避免根治性肺手术至关重要。
