Campbell D N, Cotton E K, Lilly J R
Surgery. 1982 Feb;91(2):178-82.
From 1974 to 1980, 57 consecutive cases of children with tracheobronchial foreign bodies were treated by a new protocol in which peripherally located foreign bodies were treated nonoperatively and centrally located foreign bodies were removed bronchoscopically. Bronchoscopic removal was ultimately successful in all of the 29 children in whom the foreign body was located in the trachea or mainstem bronchus. There were eight minor complications, and in three instances it was necessary to repeat the bronchoscopy for retained fragments. In the other 28 children the foreign body was located in the segmental or lobar bronchi, and initial treatment consisted of a program employing inhalation bronchodilators, pulmonary drainage, and thoracic percussion. Treatment was successful (foreign body coughed out) in 18 patients (64%). Of the other 10 children subsequent bronchoscopy was successful in eight and failed in two patients. Of the latter patients, one required bronchotomy, and the other coughed out the foreign body. There were no deaths, major complications, or permanent pulmonary damage in either treatment series.
1974年至1980年期间，我们采用一种新方案连续治疗了57例气管支气管异物患儿，该方案是对位于周边的异物采取非手术治疗，对位于中央的异物则通过支气管镜取出。在异物位于气管或主支气管的29例患儿中，最终通过支气管镜取出均获成功。出现了8例轻微并发症，有3例因残留碎片而有必要再次进行支气管镜检查。在另外28例患儿中，异物位于段支气管或叶支气管，初始治疗采用吸入支气管扩张剂、肺部引流和胸部叩击的方案。18例患者（64%）治疗成功（异物咳出）。在另外10例患儿中，后续支气管镜检查8例成功，2例失败。后2例患者中，1例需要进行支气管切开术，另1例咳出了异物。两个治疗组均无死亡、严重并发症或永久性肺损伤发生。
