支气管镜诊治气管及支气管异物10年回顾研究

• 作 者: 林小平 雷明盛
• 机 构: 湖南省慈利县人民医院,中南大学湘雅医院呼吸内科,
• 出 处: 中国实用医药
• 发表日期: 2009年11期
• 关键词: 支气管镜 异物 气管、支气管异物

目的探讨气管及支气管异物的临床特点及支气管镜在气管及支气管异物诊治中的作用。方法回顾性分析中南大学湘雅医院10年支气管镜诊治气管、支气管异物45例。结果年龄6～74岁,18岁以下占65.6%;有异物吸入史30例(70%),无异物史15例(30%);异物种类以植物类最多,占55.5%;异物容易辨认37例,存留时间最短5h,病程不明15例;82.2%经支气管镜取出异物。结论异物吸入史不明确的支气管异物容易误漏诊,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 tracheal and bronchial foreign bodies and the role of bronchoscopy in the diagnosis and treatment of tracheal and bronchial foreign bodies. Methods A retrospective analysis of 45 cases of bronchial and bronchial foreign bodies diagnosed by bronchoscopy in Xiangya Hospital of Central South University in 10 years. Results The age ranged from 6 to 74 years and 65.6% below 18 years old. There were 30 cases (70%) with foreign body aspiration history, 15 cases (30%) with no foreign body history, the most foreign species were plants (55.5%), and the foreign body was easily identifiable For example, the shortest survival time of 5h, duration of unknown 15 cases; 82.2% bronchoscopy removed foreign bodies. Conclusion Foreign body inhalation is not easy to misdiagnosis of bronchial foreign bodies, bronchoscopy is the most effective means of diagnosis and treatment of bronchial foreign body.