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目的 气道异物是小儿常见的意外伤亡原因,当异物吸入史不明确和[或]症状不典型时,易被误诊而延误治疗,本文旨在提高气道异物在儿科的早期诊断和处理。方法 本文将我院1990年5月至2002年5月收治的80例气道异物作临床分析,其中77例经支气管镜确诊,异物堵塞部位:声门下7例,总气管9例,右支气管41例,左支气管20例,3例住院时自行咳出。结果 治愈79例,1例死亡。
Objective Airway foreign body is a common cause of accidental injury in children. When the history of foreign body ingestion is unclear and [or] symptoms are not typical, it is easy to be misdiagnosed and delayed treatment. This paper aims to improve the early diagnosis and treatment of airway foreign body in pediatrics. Methods 80 cases of airway foreign bodies admitted to our hospital from May 1990 to May 2002 were analyzed clinically, of which 77 were diagnosed by bronchoscopy. The sites of foreign body obstruction included 7 cases under the supraglottic tract, 9 cases with total trachea, and 9 cases with right bronchus For example, 20 cases of left bronchus, 3 cases of cough on their own when hospitalized. Results cured 79 cases, 1 case of death.