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中国城区鼻腔异物的表现与处理。

Presentation and management of nasal foreign bodies in a Chinese metro area.

机构信息

Department of Otolaryngology, Shenzhen Children's Hospital.

Department of Otolaryngology, Huazhong University of Science and Technology Union Shenzhen Hospital (Nanshan Hospital), Shenzhen, Guangdong, China.

出版信息

Medicine (Baltimore). 2021 Apr 23;100(16):e25626. doi: 10.1097/MD.0000000000025626.

DOI:10.1097/MD.0000000000025626
PMID:33879736
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8078234/
Abstract

Nasal foreign bodies in children are common complaints encountered by pediatric otolaryngologists. We investigated clinical features, diagnosis, and treatment of nasal foreign bodies in children in a Chinese metro area.Six hundred sixty eight children with nasal foreign bodies presented to Shenzhen Children's Hospital, diagnosed and treated by the authors were enrolled from January 2016 to October 2019, causes for medical consultation, age, sex, duration, types, locations, removal, and complications were recorded and analyzed.Nasal foreign bodies were common in children between 1 and 5 years of ages (96.8%). The right nasal cavity (61.4%) was the most common site for foreign body insertion (61.4%). Most of the children (89.4%) presented for a complaint of nasal discomfort or foreign body insertion themselves, or for foreign body impaction discovered by the caregivers. Most of the foreign bodies (85.0%) were discovered within 1 day. The most nasal foreign bodies were the whole toys and toy parts (34.1%). The majority of nasal foreign bodies (99.1%) located in the antero-inferior portion of the nasal cavities and could be removed with simple instruments. The occurrence of complications in nasal foreign bodies (10.2%) was not common.The present study objectively exhibited clinical features, diagnosis, and treatment of nasal foreign bodies in a Chinese metro area.

摘要

儿童鼻腔异物是儿童耳鼻喉科常见的就诊原因。我们调查了中国大都市地区儿童鼻腔异物的临床特征、诊断和治疗。

2016 年 1 月至 2019 年 10 月,作者共收治了 668 例因鼻腔异物就诊于深圳市儿童医院的患儿,记录并分析了病因、就诊年龄、性别、异物存留时间、种类、部位、取出方法和并发症。

1-5 岁儿童是鼻腔异物的高发人群(96.8%)。右侧鼻腔(61.4%)是异物最常见的插入部位(61.4%)。大多数患儿(89.4%)因鼻腔不适或自行插入异物就诊,或因看护者发现异物嵌顿就诊。大多数异物(85.0%)在 1 天内发现。最常见的鼻腔异物是整个玩具和玩具部件(34.1%)。大多数鼻腔异物(99.1%)位于鼻腔前下方,可使用简单器械取出。鼻腔异物并发症的发生率(10.2%)并不常见。

本研究客观地展示了中国大都市地区儿童鼻腔异物的临床特征、诊断和治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e018/8078234/cf87f09691b7/medi-100-e25626-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e018/8078234/cf87f09691b7/medi-100-e25626-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e018/8078234/cf87f09691b7/medi-100-e25626-g001.jpg

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