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儿童期耳鼻异物

Foreign bodies of the ears and nose in childhood.

作者信息

Baker M D

出版信息

Pediatr Emerg Care. 1987 Jun;3(2):67-70. doi: 10.1097/00006565-198706000-00001.

DOI:10.1097/00006565-198706000-00001
PMID:3615236
Abstract

The epidemiology and management aspects of 212 consecutive cases of foreign bodies of the ears and nose in children presenting to an urban pediatric walk-in and emergency care facility were retrospectively reviewed. The items most commonly removed from children's external auditory canals were roaches, paper wads, toy parts, earring parts, hair beads, eraser tips, and food. Foreign bodies most often found in the nose included hair beads, toy parts, paper wads, and food. Approximately 90% of all foreign bodies were able to be removed without significant complications by emergency department personnel with simple equipment. Those who required referral for otorhinolaryngologic intervention had more often failed at self or parental home foreign body removal attempts than those who were able to managed successfully by emergency department personnel. Parents should be cautioned against attempting to remove objects not readily visible or not capable of being grasped easily.

摘要

对一家城市儿科门诊和急诊护理机构收治的212例连续儿童耳鼻异物病例的流行病学和处理情况进行了回顾性研究。从儿童外耳道最常取出的物品有蟑螂、纸团、玩具部件、耳环部件、发珠、橡皮擦头和食物。鼻腔中最常发现的异物包括发珠、玩具部件、纸团和食物。约90%的异物能够由急诊科人员使用简单设备取出,且无明显并发症。那些需要转诊至耳鼻喉科进行干预的患儿,比起能够由急诊科人员成功处理的患儿,其自行或由家长在家中尝试取出异物的失败率更高。应告诫家长不要试图取出不易看见或不易抓取的物体。

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