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小儿呼吸道异物最具紧迫性与危险性,尤期是喉异物,可立即引起呼吸困难和窒息,如抢救不及时或方法不当,随时致患者死亡。现把我科1984年10月～1990年12月收治的34例小结如下。 一、临床资料:男性24例,女性10例。年龄6个月～15岁。发病在半小时内就诊者16例,半小时～2小时内就诊者12例,2小时以上就诊者4例,2～5天就诊者2例。异物滞留部位:喉咽腔22例,卡于声门区6例,声门下区6例。 二、异物性质:其中骨性异物12例,金属异物8例,塑料异物6例,植物性异物5例,动物性异物活鱼3例。其中有26例是婴幼儿把异物塞入口内所致,另有3例儿童因无知,在捕鱼时把活鱼放在口中用牙咬被鱼
Children’s respiratory foreign body most urgently and dangerously, especially the throat foreign body, can immediately cause breathing difficulties and asphyxia, such as rescue is not timely or improper method, the patient died at any time. Now our department from October 1984 to December 1990 admitted 34 cases summarized as follows. First, the clinical data: 24 males and 10 females. Aged 6 months to 15 years old. 16 cases were diagnosed within half an hour, 12 cases were treated in half an hour to 2 hours, 4 cases were treated more than 2 hours and 2 cases were treated in 2 to 5 days. Stomach retention sites: Hypopharyngeal cavity in 22 cases, stuck in the glottis area in 6 cases, subglottic region in 6 cases. Second, the nature of foreign body: including 12 cases of bony foreign body, metal foreign body in 8 cases, plastic foreign body in 6 cases, plant foreign body in 5 cases, animal foreign body in 3 cases. Among them, 26 cases were infants and young children caused by foreign body plug into the mouth, and another 3 cases of children because of ignorance, fishing live fish in the mouth with teeth bite