Douglas A R
Department of Otolaryngology, Freeman Hospital, Newcastle upon Tyne, UK.
J Laryngol Otol. 1996 Jun;110(6):559-60. doi: 10.1017/s0022215100134267.
Foreign bodies in the noses of children may often be expelled by simple nose blowing. Success of this manoeuvre depends on how firmly the object is lodged, and on the co-operation and skill of the child. Attempts at direct removal using instruments frequently result in the patient becoming distressed and resort to general anaesthesia is sometimes required. This short communication describes a series of cases in which nebulized adrenaline helped loosen firmly impacted foreign bodies, thereby facilitating removal, minimizing upset for the child, and avoiding anaesthetic risk.
儿童鼻腔内的异物通常可通过简单的擤鼻动作排出。此操作是否成功取决于异物嵌入的牢固程度以及儿童的配合度和技巧。使用器械直接取出异物的尝试常常会使患儿感到痛苦,有时甚至需要进行全身麻醉。这篇简短的通讯描述了一系列病例,其中雾化肾上腺素有助于松动嵌顿牢固的异物,从而便于取出,将儿童的不适降至最低,并避免麻醉风险。