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[气管内异物取出术。硬质器械气管支气管镜检查的适应证]

[Removal of foreign bodies from the trachea. Indications for tracheobronchoscopy with a rigid instrument].

作者信息

Hildmann H

机构信息

HNO-Klinik, St. Elisabeth-Hospital Bochum.

出版信息

HNO. 1990 Oct;38(10):382-4.

PMID:2283334
Abstract

Intrathoracic disease is nowadays better investigated by fibreoptic endoscopy than by the use of rigid endoscopes. Nevertheless the use of rigid systems is still indicated for the removal of foreign bodies, especially in children. In this paper diagnostic procedures and techniques are reviewed. Seventy per cent of all inhaled or ingested foreign bodies present in children, 55% of them under 4 years of age. The foreign bodies should be extracted with the patient under general anaesthesia. Since many physicians now perform endoscopy, the foreign body cases should be concentrated in one institution in each region to ensure that one group has sufficient experience with rigid systems.

摘要

如今,与使用硬式内窥镜相比,纤维光学内窥镜能更好地检查胸腔内疾病。然而,硬式系统仍适用于取出异物,尤其是在儿童中。本文对诊断程序和技术进行了综述。儿童吸入或摄入的异物中,70%存在于4岁以下儿童中,其中55%为4岁以下儿童。异物应在全身麻醉下从患者体内取出。由于现在许多医生都进行内窥镜检查,每个地区的异物病例应集中在一个机构,以确保一组医生对硬式系统有足够的经验。

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