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目的 :通过对 492 6例呼吸道异物分析 ,探讨呼吸道异物的病因及诊断、治疗方法 ;方法 :对 492 6例呼吸道异物的发病年龄、病因、异物种类进行归类 ,并对呼吸道异物诊断、治疗进行总结分析 ;结果 :呼吸道异物中喉异物占 0 .51 % ,气管异物占 1 1 .99% ,左支气管异物 39.99% ,右侧支气管异物占 46 .77% ,双侧支气管异物占 0 .73% ,通过直达喉镜或支气管镜一次性取出率占 92 % ,死亡率占 0 .6 1 % ,气管切开率占 1‰ ;结论 :小儿误吸为呼吸道异物的主要病因 ,正确及时诊断及直达喉镜或支气管镜仍是诊断及清除呼吸道异物的最佳选择
Objective: To investigate the cause of respiratory foreign body and its diagnosis and treatment by analyzing 492 cases of foreign body of respiratory tract. Methods: The age, etiology and foreign body of 492 cases of foreign body in respiratory tract were classified, and the diagnosis and treatment of foreign body in respiratory tract Results: Respiratory foreign bodies in the throat foreign body accounted for 0.51%, tracheal foreign body accounted for 11.99%, left bronchial foreign body 39.99%, right bronchial foreign body accounted for 46.77%, bilateral bronchial foreign body accounted for 0.73% , Through the direct laryngoscope or bronchoscope, one-time removal rate of 92%, mortality rate of 0.6 1%, tracheotomy rate of 1 ‰; Conclusion: Aspiration of children as the main cause of foreign body airway, correct and timely diagnosis and direct Laryngoscope or bronchoscopy is still the best choice for the diagnosis and removal of foreign bodies in the respiratory tract