儿童气道内异物的软性支气管镜取出：12 年单中心经验。
Flexible Bronchoscopic Removal of Foreign Bodies from Airway of Children: Single Center Experience Over 12 Years.
机构信息
Division of Pediatric Critical Care and Pulmonology, Regency hospital, Kanpur, UP, India. Correspondence to: Dr Rashmi Kapoor, Department of Pediatric Critical Care and Pulmonology, Regency Hospital Ltd, A-2, Sarvodaya Nagar, Kanpur 208 005, India.
Division of Pediatric Critical Care and Pulmonology, Regency hospital, Kanpur, UP, India.
出版信息
Indian Pediatr. 2019 Jul 15;56(7):560-562.
OBJECTIVE
To report our experience of tracheobronchial foreign body removal in children using flexible bronchoscopy as the primary mode.
METHODS
Hospital records of tracheobronchial foreign body extractions between January, 2006 and January, 2018 were reviewed. Clinical presentations, radiological findings, location and types of tracheobronchial foreign bodies, types of bronchoscopes, complications and outcome of the procedures were analyzed.
RESULTS
283 extractions in children with median (range) age of 18 (5-168) months were reviewed. Extraction by flexible bronchoscope, using wire baskets or grasping forceps, was successful in 260 cases. No major complications were encountered. Mean (SD) time for the procedure was 31 (6.3) minutes.
CONCLUSION
Airway foreign bodies can safely be removed by flexible bronchoscopy with minimal complications. This procedure can be considered the primary mode for removal of airway foreign bodies by a trained and experienced person.
目的
报告我们使用软性支气管镜作为主要手段治疗小儿气管支气管异物的经验。
方法
回顾 2006 年 1 月至 2018 年 1 月期间气管支气管异物取出术的医院记录。分析临床症状、影像学表现、气管支气管异物的位置和类型、支气管镜的类型、并发症和手术结果。
结果
共 283 例儿童进行了研究，年龄中位数（范围）为 18（5-168）个月。使用金属篮或抓钳的软性支气管镜成功取出 260 例。未发生严重并发症。手术时间平均（标准差）为 31（6.3）分钟。
结论
通过软性支气管镜安全地取出气道异物，并发症少。对于经过培训和经验丰富的人员来说，该操作可作为气道异物取出的首选方法。
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