McGuirt W F, Holmes K D, Feehs R, Browne J D
Department of Surgery, Bowman Gray School of Medicine, Wake Forest University Medical Center, Winston-Salem, NC 27103.
Laryngoscope. 1988 Jun;98(6 Pt 1):615-8. doi: 10.1288/00005537-198806000-00007.
A retrospective review of 88 cases of foreign body aspiration was undertaken. The patients ranged in age from 5 months to 73 years; the peak incidences of foreign body aspiration occurred in children less than 3 years of age and in adults older than 50 years. Sixty-one of the 88 patients were male. Physical examination was abnormal in 61% of patients. The most common radiographic abnormality was inspiratory-expiratory abnormality, seen in 27% of patients. Rigid endoscopy under general anesthesia was the preferred method for removal of the aspirated material. Multiple foreign bodies were found in 5% of the patients. Tracheobronchial foreign bodies should, therefore, be strongly suspected in susceptible patient populations who present with a suggestive history, even when no physical or radiographic evidence can be seen. Patients should be carefully examined for multiple foreign bodies at the time of rigid endoscopic removal.
对88例异物吸入病例进行了回顾性研究。患者年龄从5个月至73岁不等;异物吸入的高峰发病率出现在3岁以下儿童和50岁以上成人中。88例患者中有61例为男性。61%的患者体格检查异常。最常见的影像学异常是吸气-呼气异常,见于27%的患者。全身麻醉下的硬质内镜检查是清除吸入物的首选方法。5%的患者发现有多个异物。因此,对于有提示性病史的易感患者群体,即使没有体格检查或影像学证据,也应高度怀疑气管支气管异物。在硬质内镜取出异物时,应对患者进行仔细检查以查找多个异物。