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目的:探讨老年支气管异物的诊断及治疗方法。方法:回顾性分析15例老年支气管异物的临床特点及有关文献资料,总结老年支气管异物的诊断和治疗方法。结果:15例老年支气管异物中有6例被误诊或漏诊;3例在表面麻醉,12例在表面麻醉加静脉复合麻醉情况下顺利取出异物,均无并发症发生。结论:老年支气管异物的临床表现常常不典型,多数患者X线胸片不能显示异物的直接表现,且异物吸入史常不明确,故易被误诊或漏诊。合适的麻醉方式是老年支气管异物成功取出的关键。
Objective: To investigate the diagnosis and treatment of elderly bronchial foreign body. Methods: A retrospective analysis of 15 elderly bronchial foreign body clinical features and related literature, summarize the diagnosis and treatment of elderly bronchial foreign body. Results: Six out of 15 cases of elderly bronchial foreign bodies were misdiagnosed or missed. Three cases underwent surface anesthesia and 12 cases underwent surface anesthesia plus intravenous combined anesthesia. No complications occurred. Conclusion: The clinical manifestations of elderly bronchial foreign bodies are often not typical, the majority of patients with X-ray can not show the direct manifestation of foreign body, and the history of foreign body aspiration is often not clear, it is easily misdiagnosed or missed diagnosis. Appropriate anesthesia is the key to successful removal of elderly bronchial foreign bodies.