儿童误吸异物：支气管镜检查的作用
Foreign bodies aspirated in children: role of bronchoscopy.
作者信息
Divisi D, Di Tommaso S, Garramone M, Di Francescantonio W, Crisci R M, Costa A M, Gravina G L, Crisci R
机构信息
Thoracic Surgery, G. Mazzini Hospital of Teramo, University of L'Aquila, Teramo, Italy.
出版信息
Thorac Cardiovasc Surg. 2007 Jun;55(4):249-52. doi: 10.1055/s-2006-924714.
OBJECTIVE
To examine the diagnostic and therapeutic role of fiber-optic and rigid bronchoscopy in pediatric patients with foreign body inhalations.
METHODS
From January 1986 to December 2004, we observed 128 young patients with suspicion of foreign body aspiration. Patients were divided into 3 groups: group I, patients with negative chest X-ray; group II, patients with radiological direct signs; group III, patients with radiological indirect signs.
RESULTS
Removal of the foreign body was effected in 105 patients by rigid bronchoscopy and in 13 patients by fiber-optic bronchoscopy. In 3 group II patients a thoracotomy with a bronchotomy was necessary.
CONCLUSIONS
Fiber-optic bronchoscopy showed a diagnostic accuracy rate of 100 % but played a poor therapeutic role with a case resolution of 10.7 %. Rigid bronchoscopy was the main technique, permitting the removal of the tracheobronchial foreign body in 97.2 % of patients.
目的
探讨纤维支气管镜和硬支气管镜在小儿异物吸入诊断及治疗中的作用。
方法
1986年1月至2004年12月，我们观察了128例疑似异物吸入的患儿。将患儿分为3组：Ⅰ组，胸部X线检查阴性的患儿；Ⅱ组，有放射学直接征象的患儿；Ⅲ组，有放射学间接征象的患儿。
结果
105例患儿通过硬支气管镜取出异物，13例患儿通过纤维支气管镜取出异物。Ⅱ组中有3例患儿需要开胸行支气管切开术。
结论
纤维支气管镜诊断准确率达100%，但治疗作用欠佳，病例解决率为10.7%。硬支气管镜是主要技术，97.2%的患者气管支气管异物可通过其取出。
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