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该院纤维支气管镜室于1991~1997年间,经纤维支气管镜(简称纤支镜)诊治气管内异物31例。年龄5d~14岁,病程2d~3年,异物主要为植物性食物残渣,金属塑料小物体及不可溶性的粉末物和粘稠物质。该组中婴幼儿多(51.6%),迁延及慢性病例多(807%),异物的位置多较深,83.9%在Ⅱ级深部及Ⅲ级以下,80.7%在异物局部有化脓性感染,51.6%的病例异物被炎性肉芽包裹甚至完全掩盖。其中21例(67.8%)经纤支镜取出异物,10例经纤支镜定位后由外科及五官科经手术治疗。该文探讨了纤支镜取深部支气管异物的方法,强调了纤支镜在小儿支气管异物的早期诊断、早期治疗中的重要作用。
The hospital fiber bronchoscopy room from 1991 to 1997, by bronchoscopy (bronchoscopy) diagnosis and treatment of intrathecal foreign body in 31 cases. The age of 5d ~ 14 years old, duration of 2d ~ 3 years, foreign bodies are mainly plant food residue, small metal and plastic objects and insoluble powder and viscous material. More infants and young children in this group (51.6%), prolonged and chronic cases (807%), the location of foreign body more deep, 83.9% in grade Ⅱ deep and grade Ⅲ, 80.7% in foreign body There purulent infection, 51.6% of cases of foreign body granulated by inflammatory granulation or even completely covered. Among them, 21 cases (67.8%) had foreign bodies removed by fiberoptic bronchoscopy and 10 cases were surgically treated by surgery and ENT after bronchoscopy. This article explores the method of obtaining bronchial foreign bodies with fiberoptic bronchoscopy and emphasizes the important role of fiberoptic bronchoscopy in the early diagnosis and early treatment of bronchial foreign body in children.