François M, Maisani D, Prévost C, Roulleau P
Ann Otolaryngol Chir Cervicofac. 1985;102(6):433-41.
From 1980 to 1984, 335 foreign bodies (FB) were extracted from lower respiratory tract of children: two-thirds were boys, 77% were under 3 years of age, 79% presented signs of penetration. The FB was mainly of alimentary origin, particularly peanuts. Radiologic imaging provided inconstant signs, atelectasis increasing in frequency with duration after inhalation. Laryngeal and tracheal FB were rare (15 and 19 cases respectively), and the site of impaction was divided equally between the left and right bronchi. Multiple, sometimes bilateral FB are frequent and FB of a vegetable nature are of serious omen. During the same period, 283 endoscopies for suspected FB gave negative results, and FB was found in 6 of 50 cases undergoing endoscopy for repeated pulmonary infections. In this latter group the percentage of boys was lower and the age of the children a little higher than in the group with a detected FB. These findings suggest the need for endoscopy under general anesthesia and the use of a rigid tube in all suspected cases of FB in the lower respiratory tract.
1980年至1984年期间，从儿童下呼吸道取出335个异物：三分之二为男孩，77%年龄在3岁以下，79%有穿透迹象。异物主要源于食物，尤其是花生。放射影像学表现不恒定，肺不张发生率随吸入后时间延长而增加。喉和气管异物少见（分别为15例和19例），异物嵌顿部位在左右支气管中分布均等。多发、有时双侧的异物很常见，植物性异物预后严重。同期，283例因怀疑有异物而行的内镜检查结果为阴性，50例因反复肺部感染而行内镜检查的病例中有6例发现异物。在后一组中，男孩的比例低于发现有异物的组，儿童年龄略高于该组。这些发现表明，对于所有怀疑下呼吸道有异物的病例，均需要在全身麻醉下进行内镜检查并使用硬管。
