Mantor P C, Tuggle D W, Tunell W P
Department of Surgery, University of Oklahoma College of Medicine, Oklahoma City.
Am J Surg. 1989 Dec;158(6):622-4. doi: 10.1016/0002-9610(89)90208-0.
Aspiration of foreign bodies in children can lead to illness and even death if not recognized and treated promptly. Seventy-six patients were referred to our hospital for suspected foreign body aspiration. The following is a retrospective review of their diagnosis and treatment. There was no foreign body found at bronchoscopy in seven patients (9 percent), and there were nine patients (12 percent) with bronchial foreign bodies who had a delay in diagnosis of foreign body aspiration. The delay averaged 35 days. These children, as a result of a prolonged period before diagnosis, were treated unnecessarily for pneumonia and asthma. Once correctly diagnosed, they had a significantly longer hospital stay. We propose that some negative bronchoscopies are necessary in order to prevent the morbidity that occurs from a missed foreign body aspiration.
儿童异物吸入若未及时识别和治疗，可导致疾病甚至死亡。76例疑似异物吸入患儿被转诊至我院。以下是对其诊断和治疗的回顾性分析。7例（9%）患儿支气管镜检查未发现异物，9例（12%）支气管异物患儿存在异物吸入诊断延迟情况。延迟平均为35天。由于诊断前的时间延长，这些患儿因肺炎和哮喘接受了不必要的治疗。一旦正确诊断，他们的住院时间显著延长。我们建议进行一些阴性支气管镜检查，以防止因漏诊异物吸入而导致的发病率。
