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目的 总结儿童气管支气管异物发病特点、临床特征和预后影响因素 ,为其诊治提供借鉴。方法 回顾性分析A、B两组 172例儿童气管支气管异物病例的一般情况、临床表现、手术和预后等资料。结果 多发因素为男性、1～ 2岁、农村和春秋季 ;突发吸入征最常见 ( 72 1% ) ;有机异物易发肺气肿 ,无机异物多见肺不张 ;早就诊预后好 ;B组转诊、重复手术和大并发症率减低。结论 儿童气管支气管异物有明显的发病规律和临床特点 ,及时确诊、优良的技术和器械下及时镜检可获较好预后。
Objective To summarize the characteristics, clinical characteristics and prognostic factors of tracheobronchial foreign body in children and provide reference for its diagnosis and treatment. Methods A retrospective analysis of 172 cases of children A and B children with tracheobronchial foreign body cases of general, clinical manifestations, surgery and prognosis and other data. Results Multiple factors were male, 1 to 2 years old, rural and spring and autumn; the most common sign of sudden inhalation (72 1%); organic foreign body was easy to develop emphysema; inorganic foreign body more common atelectasis; good early prognosis; B Group referral, repeat surgery and reduced the rate of major complications. Conclusion Children with tracheobronchial foreign bodies have obvious incidence and clinical features, timely diagnosis, good technology and equipment, timely microscopic examination can be a better prognosis.