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耳鼻喉科异物:一家三级医院急诊室就诊病例特征。

ENT foreign bodies: profile of the cases seen at a tertiary hospital emergency care unit.

机构信息

Universidade Federal de São Paulo, Escola Paulista De Medicina.

Universidade Federal de São Paulo, Escola Paulista de Medicina.

出版信息

Braz J Otorhinolaryngol. 2013 Nov-Dec;79(6):699-703. doi: 10.5935/1808-8694.20130128.

Abstract

UNLABELLED

Individuals often seek help with foreign bodies (FB) in their ears, noses, and throats. Proper recognition, study, and management of foreign bodies is required to prevent complications.

OBJECTIVE

To analyze the profile of the patients seen for FB at a reference otorhinolaryngology emergency care unit between February of 2010 and January of 2011.

METHOD

Cross-sectional retrospective historical cohort study based on digitized patient charts.

RESULTS

FB accounted for 827 cases and 5.3% of all patients seen in the ENT emergency unit. Children were affected more frequently, particularly when aged 8 and under. No statistically significant differences were seen between genders. Foreign bodies were mostly located in the ears (64.4%), followed by the nasal fossae (19.5%), and the oropharynx (8.9%). Complications were seen in 4.5% of the cases, and 4.4% required general anesthesia to have the FB removed.

CONCLUSION

In our ENT practice, foreign bodies were more commonly seen in children; the ears were the preferential site of occurrence. Complication rates and use of general anesthesia were low in our practice. It should be stressed that ENT foreign bodies need to be properly managed so as to avoid complications.

摘要

目的:分析 2010 年 2 月至 2011 年 1 月期间在某耳鼻喉科急诊就诊的因异物导致的患者的情况。

方法:基于数字化患者病历的回顾性横断面研究。

结果:异物共 827 例,占耳鼻喉科急诊就诊患者的 5.3%。儿童发病率更高,尤其是 8 岁以下儿童。性别之间无统计学差异。异物主要位于耳朵(64.4%),其次为鼻腔(19.5%)和口咽(8.9%)。4.5%的患者出现并发症,4.4%的患者需要全身麻醉取出异物。

结论:在耳鼻喉科实践中,异物更常见于儿童;耳朵是最常发生的部位。我们的实践中并发症发生率和全身麻醉使用率较低。应强调的是,耳鼻喉科异物需要妥善处理,以避免并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc77/9442440/603918c54af1/gr1.jpg

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