Kadish H A, Corneli H M
Department of Pediatrics, University of Utah School of Medicine, Salt Lake City, USA.
Am J Emerg Med. 1997 Jan;15(1):54-6. doi: 10.1016/s0735-6757(97)90049-8.
Nasal foreign bodies requiring removal occur commonly in young children. Different techniques of removal are needed depending on the type of nasal foreign body. A retrospective chart review of a 19-month period identified 60 pediatric patients with nasal foreign bodies evaluated in a pediatric emergency department. Twenty-four different types of foreign bodies were removed; beads, rocks and plastic toys were the most common. Numerous removal techniques were used; forceps and Foley catheter techniques were the most common. Most foreign bodies can be managed with simple equipment and without requiring otolaryngology consultation. Because of the many different nasal foreign bodies found, the physician should be skilled in numerous techniques of removal. Each one of these useful techniques is reviewed.
需要取出的鼻腔异物在幼儿中很常见。根据鼻腔异物的类型,需要采用不同的取出技术。一项对19个月期间的回顾性病历审查确定了60例在儿科急诊科接受评估的患有鼻腔异物的儿科患者。共取出了24种不同类型的异物;珠子、石头和塑料玩具最为常见。使用了多种取出技术;镊子和Foley导管技术最为常见。大多数异物可以用简单的设备处理,无需耳鼻喉科会诊。由于发现了许多不同的鼻腔异物,医生应熟练掌握多种取出技术。本文对每一种有用的技术进行了综述。