论文部分内容阅读
目的探讨小儿支气管异物诊断的特殊性及开胸手术的适应症和手术方法。方法经开胸手术治疗小儿支气管异物 12例 ,异物存留时间 5天～ 18个月 ,术前均行胸部 X线检查 ,9例行支气管镜检 ,6例行胸部 CT检查。术中切开支气管取异物 4例 ,右肺下叶切除 4例 ,左主支气管袖状切除 1例 ,左下肺段切除 1例 ,左下肺叶切除 2例。结果术中解剖均找到异物 ,术后无大出血、无支气管胸膜瘘及肺不张等并发症 ,随访良好。结论小儿支气管异物尤其是慢性期的诊断有其特殊性 ,易于误诊。开胸手术的适应症和手术方式选择很重要。
Objective To investigate the specificity of bronchial foreign body in children and the indications and surgical methods of thoracotomy. Methods Thoracotomy was performed on 12 children with bronchial foreign body and 5 days to 18 months of foreign body. Thoracic X-ray examination, 9 bronchoscopy and 6 chest CT were performed before operation. Intraoperative bronchial foreign bodies were removed in 4 cases, right lower lobe resection in 4 cases, left main bronchial sleeve resection in 1 case, left lower pulmonary section excision in 1 case, left lower lobe resection in 2 cases. Results Intraoperative anatomy were found foreign body, no postoperative bleeding, no complications such as bronchial fistula and atelectasis, with good follow-up. Conclusion The diagnosis of bronchial foreign bodies in children, especially in chronic phase, has its own particularity and is easily misdiagnosed. Thoracotomy indications and surgical options are important.