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异物吸入的晚期后遗症。一项多中心闪烁扫描研究。

Late sequelae of foreign body inhalation. A multicentric scintigraphic study.

作者信息

Piepsz A

机构信息

Hopital Universitaire Saint-Pierre, Service des Radioisotopes, Bruxelles, Belgium.

出版信息

Eur J Nucl Med. 1988;13(11):578-81. doi: 10.1007/BF02574772.

DOI:10.1007/BF02574772
PMID:3280321
Abstract

A multicentre European study on foreign body inhalation has been organized by the Pediatric Task Force covering both the SNME and the ENMS. Among the 100 cases which could be collected in a 2 year period, about 40% of scintigraphic abnormalities were found 6 months after relief of the foreign body. The frequency of these defects was clearly related to the time interval between aspiration and removal. Factors like the localization of the foreign body and the site of the early scintigraphic defects could be related to the further scintigraphic outcome, but this could not be proven statistically. Similarly, the absence of bronchial tree inspection after removal of the foreign body seemed to be associated with more permanent scintigraphic lesions. Finally, it is obvious that a large number of patients demonstrated scintigraphic alterations 6 months or more after removal of the foreign body, although the chest X-rays were considered normal.

摘要

欧洲儿科特别工作组组织了一项关于异物吸入的多中心研究,涵盖了标准核医学检查(SNME)和扩展核医学检查(ENMS)。在两年时间内收集的100例病例中,约40%的闪烁扫描异常是在异物排出6个月后发现的。这些缺陷的发生率与吸入和取出异物之间的时间间隔明显相关。异物的位置和早期闪烁扫描缺陷的部位等因素可能与后续闪烁扫描结果有关,但这无法通过统计学方法得到证实。同样,取出异物后未进行支气管树检查似乎与更多永久性闪烁扫描病变有关。最后,很明显,尽管胸部X光检查被认为正常,但大量患者在取出异物6个月或更长时间后仍出现闪烁扫描改变。

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Late sequelae of foreign body inhalation. A multicentric scintigraphic study.异物吸入的晚期后遗症。一项多中心闪烁扫描研究。
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Long term follow up after inhalation of foreign bodies.异物吸入后的长期随访。
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本文引用的文献

1
Foreign bodies in the larynx and tracheobronchial tree in children. A review of 225 cases.儿童喉及气管支气管树中的异物。225例病例回顾。
Ann Otol Rhinol Laryngol. 1980 Sep-Oct;89(5 Pt 1):434-6. doi: 10.1177/000348948008900512.
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Pulmonary scintigraphy in pediatrics.
Semin Nucl Med. 1980 Jul;10(3):259-85. doi: 10.1016/s0001-2998(80)80006-7.
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[Pneumological aspects of bronchial foreign bodies in children. Experience with 100 cases].[儿童支气管异物的肺科问题。100例经验]
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Paediatric nuclear medicine.儿科核医学
Eur J Nucl Med. 1991;18(1):41-66. doi: 10.1007/BF00177684.
Rev Pneumol Clin. 1984;40(4):221-6.
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Long-term pulmonary blood flow alterations following relief of partial bronchial obstruction.部分支气管阻塞解除后的长期肺血流改变
Am J Med. 1974 Apr;56(4):559-64. doi: 10.1016/0002-9343(74)90489-6.
5
Radionuclide lung scanning in the diagnosis of endobronchial foreign bodies in children.放射性核素肺扫描在儿童支气管内异物诊断中的应用
J Pediatr. 1973 Oct;83(4):628-31. doi: 10.1016/s0022-3476(73)80227-6.
6
Tracheobronchial foreign body aspiration in childhood. A report on 224 cases.儿童气管支气管异物吸入。224例报告。
Eur J Pediatr. 1986 Aug;145(3):211-6. doi: 10.1007/BF00446068.