Bodart E, de Bilderling G, Tuerlinckx D, Gillet J B
Department of Paediatrics, Mont-Godinne University Hospital, Yvoir, Belgium.
Eur J Emerg Med. 1999 Mar;6(1):21-5.
Foreign body inhalation is still a major cause of morbidity and even mortality in the under-fives. To reduce its frequency, more severe preventative measures must be imposed and to allow for early diagnosis, a low threshold for bronchoscopy is necessary. This retrospective study is based on 33 children referred to us for suspicion of inhaled foreign body. Symptomatology, clinical and paraclinical data are reviewed. Based on our practice and on the experience gained from the literature, we propose a management algorithm which will need to be further assessed by a prospective study.
异物吸入仍然是五岁以下儿童发病甚至死亡的主要原因。为了降低其发生率，必须采取更严格的预防措施，并且为了实现早期诊断，进行支气管镜检查的阈值要低。这项回顾性研究基于33名因怀疑吸入异物而转诊至我们这里的儿童。我们对症状学、临床和辅助检查数据进行了回顾。基于我们的实践以及从文献中获得的经验，我们提出了一种管理算法，该算法需要通过前瞻性研究进一步评估。
