Airway foreign bodies (FB): a 10-year review
Airway foreign bodies (FB): a 10-year review
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DOI：
10.1016/s0165-5876(00)00391-8
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发表时间：
2000-12-01
影响因子：
1.5
通讯作者：
Healy, GB
中科院分区：
文献类型：
--
作者：
Tan, HKK;Brown, K;Healy, GB
对1987-1997年在波士顿儿童医院通过直接喉镜和支气管镜（DLB）取出气道异物的儿童进行了回顾性病历审查。记录的患者特征包括年龄、性别和临床表现。记录术前影像学结果、延迟评价的原因、DLB结果、手术时间、重复DLB的原因和异物类型等。吸入异物的严重并发症，如严重的气道阻塞和死亡，往往发生在婴儿和幼儿，因为他们的气道尺寸小。有异物吸入病史者，可进行诊断性内镜检查，有或无放射学证实。胸片和气道平片辅以透视检查可提高正确诊断率和早期诊断率。荧光镜检查应被普遍接受为气道异物评估的初步诊断技术。如果之前的胸片提示有异物，则不值得进行荧光透视检查。长期存在的气道异物与相当大的发病率，早期诊断仍然是成功和简单的异物吸入管理的关键。旨在提高医生诊断敏锐度和提高公众认识的教育是降低发病率和死亡率所需的最重要步骤。应指导父母避免给幼儿喂食坚果和种子，并将可能摄入的小物体放在他们够不到的地方。(C)2000爱思唯尔科学爱尔兰有限公司保留所有权利。
A retrospective chart review of children who had airway foreign body removed via direct laryngoscopy and bronchoscopy (DLB) from 1987-1997 was conducted in Children's Hospital, Boston. Patient characteristics noted included age, sex, and clinical presentation. Pre-operative radiographic findings, reason for delay in evaluation, DLB findings, length of procedure, reason for repeat DLB, and types of foreign body etc. were recorded. Serious complications from aspirated Foreign bodies such as severe airway obstruction and death tend to occur in infants and younger children because of their small airway size. A history compatible with foreign body aspiration dictates diagnostic endoscopy with or without radiologic confirmation. Chest and airway radiographs supplemented by fluoroscopy can increase the ratio of correct and early diagnosis. Fluoroscopy should be universally accepted as an initial diagnostic technique in airway foreign body evaluation. Fluoroscopy is not a worthwhile investigation if a preceeding chest radiograph suggests the presence of a foreign body. Long-standing airway foreign bodies are associated with considerable morbidity, and early diagnosis remains the key to successful and uncomplicated management of foreign body aspiration. Education aimed at increasing diagnostic acumen of the physicians and heightening of public awareness are the most important steps needed to reduce the morbidity and mortality. Parents should be instructed to abstain from feeding nuts and seeds to young children and to keep small, potentially ingestible objects out of their reach. (C) 2000 Elsevier Science Ireland Ltd. All rights reserved.