Thompson G P, Utz J P, McDougall J C
Gundersen Clinic's Pulmonary Services Department, LaCrosse, Wisconsin.
Minn Med. 1993 Aug;76(8):19-21.
Pediatric tracheobronchial foreign bodies (PTBFBs) remain a significant cause of childhood morbidity and mortality. Because physicians do not always obtain a history of aspiration, and because the signs and symptoms of a PTBFB are nonspecific, diagnosis may be delayed, which increases the risk of complications when the foreign body is removed. Flexible fiberoptic and rigid bronchoscopy are often used in tandem for the identification and removal of PTBFBs. Recent advances in bronchoscopic equipment and technique have made removal of PTBFBs safer and more successful. Education of parents, child care providers, and medical personnel can reduce morbidity and mortality due to PTBFBs.
小儿气管支气管异物（PTBFBs）仍然是儿童发病和死亡的一个重要原因。由于医生并非总能获取到误吸史，且PTBFBs的体征和症状不具有特异性，诊断可能会延迟，这会增加取出异物时出现并发症的风险。可弯曲纤维支气管镜和硬质支气管镜常常联合用于PTBFBs的识别和取出。支气管镜设备和技术的最新进展已使PTBFBs的取出更安全、更成功。对家长、儿童护理人员和医务人员进行教育可降低因PTBFBs导致的发病和死亡。
