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耳鼻喉科异物:一次经历

ENT Foreign Bodies: An Experience.

作者信息

Awad Al Hussein, ElTaher Mostafa

机构信息

Department of Otorhinolaryngology, Faculty of Medicine, Sohag University, Sohag, Egypt.

出版信息

Int Arch Otorhinolaryngol. 2018 Apr;22(2):146-151. doi: 10.1055/s-0037-1603922. Epub 2017 Jul 14.

Abstract

Ear, nose and throat (ENT) foreign bodies (FBs) are common occurrences, particularly among children. The proper recognition, study, and management of FBs are required to prevent complications. Their consequences are greatly variable, from mild disturbances that may not require hospitalization up to life-threatening complications.  To analyze the clinical spectrum of ENT FBs, the methods of removal, the outcomes and complications as seen in a tertiary referral hospital.  This hospital-based cross-sectional retrospective study was performed from July 2014 to June 2016. Patients with any type of ENT FBs, regardless of age, were included in the study; data was collected from 1,013 patients (572 males and 440 females) with a mean age of 12.5 years.  Foreign bodies represented a large category among ENT emergencies (30%). Children were affected more frequently, particularly ≤ 6 years old. Swallowed FBs were the most common (53.6%), followed by aural FBs (24.68%), nasal FBs (19%), and inhaled FBs (2.6%). A total of 54.69% of ENT s were removed under general anesthesia (GA).  Foreign bodies (FB) in the ears, nose or throat are a common occurrence in otorhinolaryngology (ENT) emergency services. Children are the most affected age group. The commonest site of FB lodgment is in the throat. Ear, nose and throat FBs need to be properly managed to avoid complications.

摘要

耳鼻咽喉(ENT)异物很常见,尤其是在儿童中。需要正确识别、研究和处理耳鼻咽喉异物以预防并发症。其后果差异很大,从可能无需住院的轻微不适到危及生命的并发症。

为分析一家三级转诊医院中耳鼻咽喉异物的临床谱、取出方法、结果及并发症。

这项基于医院的横断面回顾性研究于2014年7月至2016年6月进行。纳入研究的患者为任何类型的耳鼻咽喉异物患者,不限年龄;收集了1013例患者(572例男性和440例女性)的数据,平均年龄为12.5岁。

异物在耳鼻咽喉急诊中占很大比例(30%)。儿童受影响更频繁,尤其是≤6岁的儿童。吞咽异物最为常见(53.6%),其次是耳部异物(24.68%)、鼻部异物(19%)和吸入性异物(2.6%)。共有54.69%的耳鼻咽喉异物在全身麻醉(GA)下取出。

耳、鼻或咽喉异物在耳鼻咽喉(ENT)急诊中很常见。儿童是受影响最严重的年龄组。异物最常见的嵌顿部位是咽喉。耳鼻咽喉异物需要妥善处理以避免并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8eb9/5882369/be28db191aef/10-1055-s-0037-1603922-i0619or-1.jpg

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