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[耳鼻喉医学中的异物]

[Foreign bodies in ENT medicine].

作者信息

Schmidt H

机构信息

Westpfalz-Klinikum GmbH, Kaiserslautern, Deutschland.

出版信息

HNO. 2012 Sep;60(9):772-80. doi: 10.1007/s00106-012-2490-5.

DOI:10.1007/s00106-012-2490-5
PMID:22944889
Abstract

A foreign body (Latin: corpus alienum) is any object originating outside the body. Of all specialties, otolaryngology covers the greatest number of natural body orifices, making foreign bodies a common diagnosis. Foreign bodies of the ear canal and nose often occur in children and are easily accessible during physical examination. Foreign bodies of the oral cavity and oropharynx are also easily removed. Esophageal and tracheobronchial foreign bodies are common in children and the elderly. A number of rigid and flexible endoscopic techniques are available for foreign body removal. In Germany, flexible endoscopy is six times more common than rigid endoscopy. Both methods are highly effective, and each has its advantages in certain situations. Rigid endoscopy is still a key in otolaryngology and can be used in case of failure of flexible techniques. It is therefore important for otolaryngologists to be proficient in both techniques.

摘要

异物(拉丁语:corpus alienum)是指源于身体外部的任何物体。在所有医学专科中,耳鼻喉科所涉及的自然体腔最多,这使得异物成为一种常见的诊断情况。耳道和鼻腔异物在儿童中较为常见,且在体格检查时易于触及。口腔和口咽异物也易于取出。食管和气管支气管异物在儿童和老年人中较为常见。有多种刚性和柔性内镜技术可用于取出异物。在德国,柔性内镜检查的使用频率是刚性内镜检查的六倍。两种方法都非常有效,且在某些情况下各有优势。刚性内镜检查在耳鼻喉科仍然是关键技术,在柔性技术失败时也可使用。因此,耳鼻喉科医生熟练掌握这两种技术非常重要。

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本文引用的文献

1
Toys in the upper aerodigestive tract: evidence on their risk as emerging from the ESFBI study.上呼吸道和消化道中的玩具:欧洲玩具相关窒息性伤害监测网络(ESFBI)研究得出的风险证据
Auris Nasus Larynx. 2011 Oct;38(5):612-7. doi: 10.1016/j.anl.2011.01.019. Epub 2011 Feb 26.
2
The anesthetic considerations of tracheobronchial foreign bodies in children: a literature review of 12,979 cases.儿童气管支气管异物的麻醉考虑:12979 例文献复习。
Anesth Analg. 2010 Oct;111(4):1016-25. doi: 10.1213/ANE.0b013e3181ef3e9c. Epub 2010 Aug 27.
3
[ENT-recommendations for tracheobronchoscopy].
Laryngorhinootologie. 2010 Aug;89(8):473-6. doi: 10.1055/s-0030-1253424. Epub 2010 Aug 16.
4
Esophageal foreign bodies: 177 cases.食管异物:177 例。
Dis Esophagus. 2011 Jan;24(1):6-9. doi: 10.1111/j.1442-2050.2010.01085.x.
5
[ENT-recommendations for esophagoscopy].
Laryngorhinootologie. 2010 Sep;89(9):540-3. doi: 10.1055/s-0030-1254097. Epub 2010 Jul 8.
6
[Foreign body ingestion in children: recommendation for the diagnostic and therapeutic procedure].
Laryngorhinootologie. 2010 Feb;89(2):73-6. doi: 10.1055/s-0029-1241168. Epub 2010 Feb 12.
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Perforation after rigid pharyngo-oesophagoscopy: when do symptoms and signs develop?
J Laryngol Otol. 2010 Feb;124(2):171-4. doi: 10.1017/S0022215109991629. Epub 2009 Oct 20.
8
Tracheobronchoscopy and esophagoscopy in current ear-nose-throat practice: an update.在当前的耳鼻喉科实践中,气管支气管镜和食管镜检查:更新。
Eur Arch Otorhinolaryngol. 2010 Feb;267(2):311-6. doi: 10.1007/s00405-009-0997-5. Epub 2009 May 26.
9
Bronchoscopy in Japan: a survey by the Japan Society for Respiratory Endoscopy in 2006.日本的支气管镜检查:日本呼吸内镜学会2006年的一项调查。
Respirology. 2009 Mar;14(2):282-9. doi: 10.1111/j.1440-1843.2008.01463.x. Epub 2009 Jan 23.
10
[S3-guidelines--sedation in gastrointestinal endoscopy].[S3指南——胃肠内镜检查中的镇静]
Z Gastroenterol. 2008 Nov;46(11):1298-330. doi: 10.1055/s-2008-1027850. Epub 2008 Nov 14.