Maraynes Megan, Agoritsas Konstantinos
Pediatr Emerg Med Pract. 2015 Oct;12(10):1-14; quiz 15.
Foreign body inhalation affects thousands of children every year, and it remains a significant cause of morbidity and mortality in children. Inhaled organic or inorganic foreign bodies can become lodged in the posterior nasopharynx, larynx, trachea, or bronchi. Presentation of foreign body inhalation can range from nonspecific respiratory symptoms to respiratory failure associated with a choking episode. In this issue, an in-depth review of the etiology, pathophysiology, diagnosis, and treatment of inhaled foreign bodies is presented. Risk factors for foreign body inhalation and clinical clues to diagnosis, as well as emergent management of inhaled foreign bodies are reviewed. A systematic approach, as described in this issue, will aid in timely and accurate diagnosis and treatment of inhaled foreign bodies, thereby limiting future complications and morbidity.
每年有成千上万的儿童发生异物吸入,它仍然是儿童发病和死亡的一个重要原因。吸入的有机或无机异物可滞留在鼻咽后部、喉部、气管或支气管。异物吸入的表现范围从非特异性呼吸道症状到与窒息发作相关的呼吸衰竭。在本期中,对吸入性异物的病因、病理生理学、诊断和治疗进行了深入综述。回顾了异物吸入的危险因素、诊断的临床线索以及吸入性异物的紧急处理。正如本期所述,一种系统的方法将有助于及时、准确地诊断和治疗吸入性异物,从而减少未来的并发症和发病率。