Davies H, Gordon I, Matthew D J, Helms P, Kenney I J, Lutkin J E, Lenney W
Hospital for Sick Children, London.
Arch Dis Child. 1990 Jun;65(6):619-21. doi: 10.1136/adc.65.6.619.
The long term results of treatment of inhalation of foreign bodies in a district children's hospital and in a tertiary referral centre were reviewed by clinical assessment, chest radiography, and standard four view 81mKr ventilation/99mTc macroaggregated albumin perfusion imaging (V/Q lung scan). The overall incidence in the population served by the district hospital was roughly one in 14,000/year. Of the 12 children reviewed there, three had abnormal chest radiographs and four had abnormal V/Q scans as a result of inhalation of the foreign bodies. Of 21 children treated and reviewed at the referral centre, eight had abnormal chest radiographs, and 14 had abnormal V/Q lung scans. Three factors were assessed for prognostic importance: site of impaction, initial radiographic appearance, and time before removal. A child who had inhaled a foreign body into the left lung and who had collapse/consolidation on the initial chest radiograph was at greatest risk of long term complications. These children merit close follow up.
通过临床评估、胸部X光检查以及标准的四视图81mKr通气/99mTc大颗粒聚合白蛋白灌注成像（V/Q肺扫描），对一家地区儿童医院和一家三级转诊中心治疗异物吸入的长期结果进行了回顾。该地区医院所服务人群的总体发病率约为每年1/14000。在该地区医院接受检查的12名儿童中，有3名胸部X光检查结果异常，4名因异物吸入导致V/Q扫描结果异常。在转诊中心接受治疗和检查的21名儿童中，8名胸部X光检查结果异常，14名V/Q肺扫描结果异常。评估了三个因素对预后的重要性：异物嵌塞部位、初始X光片表现以及取出前的时间。吸入异物至左肺且初始胸部X光片显示有肺不张/实变的儿童发生长期并发症的风险最大。这些儿童值得密切随访。
