摘要
目的 :分析小儿气管、支气管异物合并肺不张、肺气肿、纵隔气肿、气胸、皮下气肿等情况。方法 :总结 1994至 2 0 0 0年儿童气管、支气管异物 4 17例 ,其中发生合并症 2 96例 ,占同期患者的 80 % ,合并肺气肿2 14例 ,肺不张 76例 ,纵隔气肿、皮下气肿 4例 ,气胸 2例。结果 :取除小儿气管支气管异物 ,解除呼吸道梗阻后 ,合并症均于术后 12d治愈。结论 :治疗气管。
Objective:To analyse tracheal and bronchial foreign body that complicated atelectasis, emphysema, mediastinal emphysema, pheumothorax, and aerodermectasia.Method:417 cases of tracheal and/or bronchial foreign bodies were analized. Among them,296 cases had complications which were emphysema in 214 cases,atelectasis in 76 cases,mediastinal emphysema and pneumohypoderma in 4 cases, pneumothorax in 2 cases.Result:After removed the foreign bodies,all patiests recovered their complications in 12 days.Conclusion:Removing airway obstruction and changing intrapulmonary pressure are the key factors of complications of tracheal and/or bronchial foreign bodies.
关键词
并发症
儿童
支气管异物
Foreign bodies
Trachea
Bronchi
Complications
Child