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[小儿上呼吸道及支气管树异物取出术]

[Removal of foreign bodies from the upper airways and the bronchial tree of small children].

作者信息

Teixidor de Otto J, Negro F, Gutierrez C

出版信息

Z Kinderchir Grenzgeb. 1980 Jun;30(2):137-40.

PMID:7415552
Abstract

Food remnants are the foreign bodies most frequently aspirated by young children. Larger foreign objects are nearly always rejected spontaneously. In many cases, however, aspiration of foreign bodies lead to death by suffocation. From March 1975 to August 1979, 27 endoscopies removing 22 foreign bodies have been carried out by us. All children were less than 7 years old. The foreign bodies most commonly found were peanuts. Endoscopy was not only carried out when diagnosis was clear, but also if there was suspicion of foreign body aspiration. It is nowadays a treatment without risk when the following conditions are met: 1. Careful medical preparation leading to bronchial dilatation. 2. Effective collaboration with a paediatric anaesthetist. 3. Exact knowledge of the bronchial tree of children.

摘要

食物残渣是幼儿最常误吸的异物。较大的异物几乎总会自然排出。然而,在许多情况下,异物误吸会导致窒息死亡。1975年3月至1979年8月,我们进行了27次内镜检查,取出了22个异物。所有患儿年龄均小于7岁。最常见的异物是花生。内镜检查不仅在诊断明确时进行,而且在怀疑有异物误吸时也会进行。如今,在满足以下条件时,这是一种无风险的治疗方法:1. 经过仔细的医学准备导致支气管扩张。2. 与儿科麻醉师有效协作。3. 准确了解儿童支气管树。

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