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儿童异物吸入和异物吞食。

FOREIGN BODY ASPIRATION AND INGESTION IN CHILDREN.

机构信息

Department of Anesthesiology and Intensive Care, Institute for Children Diseases, Clinical Center of Montenegro, Podgorica, Montenegro.

University of Montenegro, Faculty of Medicine, Podgorica, Montenegro.

出版信息

Acta Clin Croat. 2023 Apr;62(Suppl1):105-112. doi: 10.20471/acc.2023.62.s1.13.

Abstract

Aspiration and ingestion of a foreign body is most frequently seen in children younger than 3 years. Foreign body aspiration is always a life-threatening, urgent state demanding quick recognition and treatment to avoid potentially lethal complications. Most foreign bodies that are ingested pass spontaneously through the gastrointestinal tract without complications, however, some could lead to problems if they become lodged. A literature review was performed MEDLINE database using key terms. Primary care providers should be trained to give proper initial care. Aspirated/ingested foreign bodies in children removed by rigid or flexible bronchoscopy/gastroscopy always are challenging procedures that require well-planned anesthesia management and excellent intercommunication between anesthesiologists and surgeons. Extracorporeal membrane oxygenation can be used as a rescue mode of support in children with life-threatening foreign body aspiration for stabilization before, during and after removal of the aspirated foreign body. It is of utmost importance that all foreign body extractions, if possible, be done in centers supplied with all the necessary equipment and trained personnel. However, prevention of foreign body aspiration and ingestion is still the best therapy.

摘要

异物吸入和摄入最常发生于 3 岁以下的儿童。异物吸入总是危及生命的紧急状态,需要快速识别和治疗,以避免潜在的致命并发症。大多数被摄入的异物会自行通过胃肠道而没有并发症,然而,有些异物如果卡住,可能会导致问题。我们在 MEDLINE 数据库中使用关键词进行了文献回顾。初级保健提供者应接受培训,以提供适当的初步护理。通过硬性或软性支气管镜/胃镜取出的儿童吸入/摄入的异物始终是具有挑战性的操作,需要经过精心计划的麻醉管理和麻醉师与外科医生之间的良好沟通。体外膜氧合可作为有生命危险的异物吸入患儿的抢救支持模式,在取出吸入异物之前、期间和之后进行稳定治疗。最重要的是,如果可能的话,所有的异物取出都应在配备所有必要设备和训练有素人员的中心进行。然而,预防异物吸入和摄入仍然是最好的治疗方法。

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