Causey A L, Talton D S, Miller R C, Warren E T
Department of Pediatrics, University of Mississippi Medical Center, Jackson, USA.
Pediatr Emerg Care. 1997 Dec;13(6):397-400. doi: 10.1097/00006565-199712000-00011.
Foreign body aspirations in children are relatively uncommon occurrences, but they can be a serious events, causing respiratory distress, atelectasis, chronic pulmonary infections, or death. Safety pins are not commonly aspirated objects and account for less than 3% of all foreign bodies found in the tracheobronchial tree. Fewer than 2% of patients require thoracotomy, and most aspirated materials can be removed by bronchoscopy, with low morbidity and mortality. A discussion of airway foreign bodies follows the presentation of a case of an older child who aspirated a safety pin, which required open thoracostomy for removal.
儿童气道异物吸入相对少见，但可能是严重事件，可导致呼吸窘迫、肺不张、慢性肺部感染或死亡。安全别针并非常见的吸入异物，在气管支气管树中发现的所有异物中占比不到3%。不到2%的患者需要开胸手术，大多数吸入物可通过支气管镜取出，发病率和死亡率较低。在介绍了一名吸入安全别针的大龄儿童病例后，将对气道异物进行讨论，该病例需要进行开胸造口术以取出异物。
