Sanford C C
Am Fam Physician. 1979 Sep;20(3):104-8.
Children six months to four years of age are at greatest risk for aspiration of foreign bodies. A history of coughing after contact with small objects is the most important clue. The clinical presentation varies from paroxysms of choking and coughing to chronic cough or wheezing. Chest radiographs are normal in up to one-half of the children. The location and size of the foreign body determine the urgency and selection of therapy. Prevention and a high index of suspicion will decrease morbidity.
6个月至4岁的儿童发生异物吸入的风险最高。接触小物体后出现咳嗽史是最重要的线索。临床表现从阵发性呛咳到慢性咳嗽或喘息不等。多达一半的儿童胸部X线片正常。异物的位置和大小决定了治疗的紧迫性和选择。预防和高度怀疑意识将降低发病率。
