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目的 :研究婴幼儿呼吸道异物的诊断、治疗方法。方法 :通过对我院近 4年来 30例婴幼儿呼吸道异物患者诊断和治疗 ,采用回顾性分析。结果 :本组采用病例组在 6月至 5岁 ,男性与女性比例为 2 .3:1,植物性异物 2 4例 (80 % ) ,化学性异物 3例 (10 % ) ,动物性异物 10 %。均在气管插管人工通气下进行纤支镜检查治疗 ,成功率 10 0 % ,无出现窒息、心跳、呼吸骤停等重大并发症。结论 :5岁以下尤其在 3岁以下婴幼儿呼吸道异物采用气管插管人工通气下的纤支镜检查治疗 ,能保证时使供氧 ,在良好的呼吸状态下进行手术 ,缩短纤支镜检查治疗时间 ,避免因反复进出声门所造成的声门水肿、窒息、心跳、呼吸骤停等重大并发症的方法。
Objective: To study the diagnosis and treatment of respiratory tract foreign body in infants and children. Methods: The diagnosis and treatment of respiratory tract foreign body in 30 infants and young children in our hospital in the recent 4 years were retrospectively analyzed. Results: In this study, patients in the age group of 6 to 5 years old were males and females with a ratio of 2.3: 1, 24 (80%) of plant-derived foreign bodies, 3 (10%) of chemical foreign bodies, %. All were under bronchial intubation artificial ventilation bronchoscopy examination, the success rate of 10%, no asphyxia, heartbeat, respiratory arrest and other major complications. CONCLUSIONS: Infants younger than 5 years of age, especially infants under 3 years of age, are treated with bronchoscopy under artificial ventilation for endotracheal intubation to ensure oxygen supply, surgery in good breath, and shortening bronchoscopy examination Time, to avoid repeated glottis caused by glottis edema, asphyxia, heartbeat, respiratory arrest and other major complications of the method.