Singh B, Kantu M, Har-El G, Lucente F E
Department of Otolaryngology, State University of New York Health Science Center at Brooklyn, USA.
Ann Otol Rhinol Laryngol. 1997 Apr;106(4):301-4. doi: 10.1177/000348949710600407.
We intended to identify the types and incidence of complications associated with foreign bodies (FBs) impacted in the upper aerodigestive tract (UADT) and to ascertain factors predisposing to the development of these complications. The design was a retrospective cohort study of 327 patients with UADT foreign bodies admitted to a tertiary care center. The overall incidence (7.6%) and types of complications varied by age. Complications developed in 4.8% of 208 patients 10 years of age and under, with pulmonary complications being most common. In contrast, complications occurred in 12.6% of 119 older patients, with retropharyngeal abscess being the most common (p < .0001). Delayed presentation (> 24 hours after the onset of symptoms) was the only factor associated with an increase in the incidence of complications in the younger patients (p = .02). In contrast, pharyngeal location of the FB (p = .0004), the FB's being a fish bone (p = .006), and radiolucency (p = .02) were all associated with an increased incidence of complications in patients over 10 years of age. A significant risk for complications is present for patients admitted for the management of FBs in the UADT. Older patients with sharp FBs are at greatest risk. In this group of patients, close observation in the perioperative period is required, especially if there is evidence of mucosal injury.
我们旨在确定上消化道气道（UADT）异物（FBs）相关并发症的类型和发生率，并确定易引发这些并发症的因素。本研究为回顾性队列研究，纳入了一家三级医疗中心收治的327例UADT异物患者。总体并发症发生率（7.6%）和类型因年龄而异。208例10岁及以下患者中，4.8%发生了并发症，肺部并发症最为常见。相比之下，119例老年患者中，12.6%发生了并发症，咽后脓肿最为常见（p < .0001）。延迟就诊（症状出现后> 24小时）是年轻患者并发症发生率增加的唯一相关因素（p = .02）。相比之下，FB位于咽部（p = .0004）、FB为鱼骨（p = .006）以及透光性（p = .02）均与10岁以上患者并发症发生率增加相关。UADT异物患者在接受治疗时存在显著的并发症风险。携带尖锐FB的老年患者风险最大。在这组患者中，围手术期需要密切观察，尤其是存在黏膜损伤证据时。
