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儿童异物吸入:1160例病例经验

Foreign body aspiration in children: experience of 1160 cases.

作者信息

Eren Sevval, Balci Akin Eraslan, Dikici Bünyamin, Doblan Mehmet, Eren Mehmet Nesimi

机构信息

Departments of Thoracic & Cardiovascular Surgery, Dicle University School of Medicine, Diyarbakir, Turkey.

出版信息

Ann Trop Paediatr. 2003 Mar;23(1):31-7. doi: 10.1179/000349803125002959.

Abstract

Hospital records of 1160 children <or=15 years old referred for suspected foreign body aspiration were reviewed. Bronchoscopy under general anaesthesia was performed on all patients. Foreign bodies were successfully removed in 1068 (92%) children. The majority, 885 (76.3%), presented with a definite history of foreign body aspiration. Bronchoscopy was negative in 85 (7.3%) children. Watermelon seeds, found in 414 (38.7%) children, were the most commonly aspirated foreign bodies. Open surgical procedures were required for 21 (1.8%) children. Bronchial rupture related to bronchoscopy occurred in four children, two of whom died post-operatively. The overall mortality rate was 0.8%.

摘要

对1160名15岁及以下因疑似异物吸入而转诊的儿童的医院记录进行了回顾。所有患者均在全身麻醉下进行了支气管镜检查。1068名(92%)儿童的异物被成功取出。大多数患者,即885名(76.3%),有明确的异物吸入史。85名(7.3%)儿童的支气管镜检查结果为阴性。414名(38.7%)儿童吸入的异物中,西瓜籽是最常见的。21名(1.8%)儿童需要进行开放性手术。4名儿童发生了与支气管镜检查相关的支气管破裂,其中2名在术后死亡。总死亡率为0.8%。

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