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目的探讨支气管异物的临床特征并总结诊疗经验,综合评价纤维支气管镜在诊治支气管异物中的价值。方法回顾性分析经纤维支气管镜诊治的支气管异物28例。结果支气管异物右侧多见,且大部分为非金属异物,纤维支气管镜钳取支气管异物成功率达96%,术后咳嗽及胸痛缓解。结论无明确异物吸入史或异物吸入史不详者易误诊,应详细询问病史并重视胸部X线检查结果。纤维支气管镜是目前诊治支气管异物的最有效手段。
Objective To investigate the clinical features of bronchial foreign bodies and summarize the experience of diagnosis and treatment, and evaluate the value of bronchofibroscopy in the diagnosis and treatment of bronchial foreign bodies. Methods 28 cases of bronchial foreign bodies diagnosed by bronchofibroscopy were retrospectively analyzed. Results The right side of bronchial foreign body more common, and most of the non-metallic foreign body, fiberoptic bronchoscopy force of bronchial foreign body success rate of 96%, postoperative cough and chest pain relief. Conclusion There is no clear history of foreign body aspiration or history of foreign body aspiration is not easy to be misdiagnosed, history should be asked in detail and attention to chest X-ray findings. Fiberoptic bronchoscopy is currently the most effective means of diagnosis and treatment of bronchial foreign body.