Samkani Amirsalar, Larsen Karl Viktor Lynge, Faber Christian Emil, Godballe Christian
Gammel Kongevej 127, 4. tv., 1850 Frederiksberg, Denmark.
Dan Med J. 2013 Oct;60(10):A4715.
Foreign body aspiration (FBA) can have a fatal outcome, and the diagnosis is challenging since symptoms and signs may vary. We therefore investigated whether it was possible to identify predictors indicating the presence of a foreign body.
The medical records of children undergoing bronchoscopy at Odense University Hospital for suspected FBA in the period from 1977 to 2010 were reviewed and analyzed.
A total of 143 children underwent bronchoscopy due to suspected FBA. The medical records of 137 of these children were accessible. Their median age was 1.84 years, 62.8% were male and foreign bodies were found in 76 cases (55.5%). The only variable that statistically significantly predicted the presence of a foreign body was a radiologic finding (any abnormal chest X-ray or fluoroscopy) (p = 0.023). A foreign body was found in 22 out of 47 (46.8%) patients with no radiologic findings and in three of 11 (27%) patients with neither symptoms at admission nor radiologic or physical findings.
Parental suspicion of an FBA indicates acute bronchoscopy in children regardless of signs, symptoms and findings.
异物吸入（FBA）可能导致致命后果，且由于症状和体征可能各异，诊断颇具挑战性。因此，我们调查了是否有可能识别出提示存在异物的预测因素。
回顾并分析了1977年至2010年期间在欧登塞大学医院因疑似FBA而接受支气管镜检查的儿童的病历。
共有143名儿童因疑似FBA接受了支气管镜检查。其中137名儿童的病历可供查阅。他们的中位年龄为1.84岁，62.8%为男性，76例（55.5%）发现有异物。唯一在统计学上显著预测异物存在的变量是放射学检查结果（任何异常的胸部X光或透视）（p = 0.023）。在47例无放射学检查结果的患者中，22例（46.8%）发现有异物；在11例入院时既无症状、也无放射学或体格检查结果的患者中，3例（27%）发现有异物。
无论体征、症状和检查结果如何，家长怀疑有FBA时均应提示对儿童进行急诊支气管镜检查。
