儿童的异常气道外体:人口统计和管理
Sumona Bose1, Attibele Mahadevaiah Shubha2
1Department of Paediatric Surgery, All India Institute of Medical Sciences, Kalyani, West Bengal, India.
Journal of Indian Association of Pediatric Surgeons
|October 31, 2024
概括
儿童的异常气道异物 (UAFB) 并非罕见,男孩主要受到影响. 支气管镜去除具有挑战性,但为这些UAFB提供了有利的结果.
科学领域:
- 儿科肺病学 儿科肺病学
- 儿科耳鼻喉科 儿科耳鼻喉科
- 医疗器械技术 医疗器械技术
背景情况:
- 不寻常的气道异物体 (UAFB) 在儿科呼吸急诊中构成了独特的挑战.
- 排除诸如坚果和种子之类的常见吸气物体,凸显了对不那么典型的UAFB的关注.
研究的目的:
- 调查儿科患者的异常气道外体 (UAFB) 的人口统计和管理策略.
- 分析UAFBs.的支气管镜切除的特征,临床表现和结果.
主要方法:
- 从2000年到2020年,对患有UAFB的儿科患者进行了回顾性观察性研究.
- 纳入标准: 支气管镜去除UAFB,不包括常见的吸入物品.
- 收集的数据:人口统计,异物体类型,临床/放射学特征,管理和结果.
主要成果:
- 531名儿童中有74名患有UAFB,主要是男性 (59/15).
- 常见的UAFB包括笔盖,哨子,塑料物品和针;常见的地方是左侧主支气管,右侧主支气管和气管.
- 报告指出,表现迟缓,胸部X射线帮助诊断;4名儿童需要额外的手术,发生1例死亡.
结论:
- 儿童UAFB的渴望是一个重大问题,经常目睹,在男孩中更为常见.
- 左支气管是常见的冲击部位,放射性发现对诊断至关重要.
- 虽然UAFBs的支气管镜检索复杂,但通常会产生积极的结果.
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