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异物吸入是6岁以下小儿重要的疾病之一。最近我们观察到1例异物吸入的小儿并说明了若干问题。病例:1例2岁咳呛的女孩身边放着部分吃过的花生饯。急性发作很快过去,但每隔1～2小时反复咳嗽持续5～10分钟。次日,体温升至38.8～39.4℃。因症状持续存在,故于第6天收住院。入院后胸片显示右中叶肺不张。采用茶碱与青霉素Ⅴ治疗同时使用胸部理疗。因患儿体温正常,肺呼吸音改善,X线所示肺不张消失,故未行支气管镜检查乃出院。出院后两周内无症状。然停用茶碱和青霉素后,很快再度发生咳嗽、喘鸣、呼吸短促,体温升至40℃。再度入院时,体温为38.8℃,白细胞20,300,中性带状核白细胞35%,右肺呼吸音减低。前后位,侧
Foreign body inhalation is one of the important diseases in children under 6 years of age. We recently observed 1 case of foreign body inhalation in children and explained a number of issues. Case: A 2-year-old cough choke girl stood near the partially eaten peanut preserves. Acute exacerbation passed quickly, but repeated coughs lasting 1 to 2 hours for 5 to 10 minutes. The next day, body temperature rose to 38.8 ~ 39.4 ℃. Due to the persistence of symptoms, it was admitted to the hospital on the 6th day. After admission, chest radiograph showed right middle atelectasis. Theophylline and penicillin V treatment using chest treatment at the same time. Due to normal body temperature in children, lung breath sounds improved, X-ray showed atelectasis disappear, so bronchoscopy was not discharged. Asymptomatic within two weeks after discharge. However, after stopping theophylline and penicillin, cough, wheezing and shortness of breath again soon after the temperature rose to 40 ° C. Re-admission, the body temperature was 38.8 ℃, white blood cells 20,300, 35% of the neutrophilic leukocytes, decreased right lung breath sounds. Before and after the bit, side