儿童外体吸收和紧急刚性支气管镜检查:一项回顾性观察性研究
Debasish Ghosh1, Ritabrata Mitra2, Sripurna Mondal1
1Institute of OtoRhinoLaryngology and Head Neck Surgery, IPGME and R, 244 A.J.C. Bose Road, Kolkata, 700020 West Bengal India.
概括
儿童的外体吸收是危险的,但硬性支气管镜检查可以挽救生命. 这项研究强调了接受这种紧急手术的儿科患者面临的挑战和成功的结果.
科学领域:
- 儿科肺病学 儿科肺病学
- 紧急医疗 紧急医疗
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 外体吸收对儿童来说是一个严重的危及生命的风险.
- 早期诊断和干预对于积极的结果至关重要.
研究的目的:
- 概述在紧急儿科硬性支气管镜检查过程中遇到的挑战.
- 介绍138名儿科患者的经验和结果.
主要方法:
- 对138名12岁以下儿童的回顾性分析,怀疑他们吸收了外体.
- 数据收集包括患者的人口统计,症状,临床症状,放射学发现和程序结果.
主要成果:
- 有机异物,特别是花生,最常被吸入.
- 常见的症状包括窒息,咳和突然呼吸困难;症状包括呼吸暂停和不对称的呼吸声音.
- 阻塞性肺气是最常见的放射学发现. 大多数患者在72小时内康复,死亡率低.
结论:
- 临床病史,体检和成像高度暗示气道异物.
- 尽管存在固有的风险,但刚性支气管检查,当由经验丰富的团队进行并得到充分的支持时,在儿科气管支气管外体病例中有效地挽救了生命.
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