在简单的检查中看不到的儿科鼻腔外体:发生率和患者特征
John Thompson1, Joseph Sinnwell1, Xueying Zhang1
1University of Michigan, 1500 E. Medical Center Drive, Ann Arbor, MI 48109, USA.
The American journal of emergency medicine
|August 13, 2025
概括
显著的百分比的儿科患者提出怀疑的鼻子外体有他们,即使在初步检查时是不可见的. 持续的症状和特定的检查结果增加了隐藏异体的可能性.
科学领域:
- 儿科急救医学 儿科急救医学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 诊断成像 诊断成像 诊断成像
背景情况:
- 鼻子外体在儿童中很常见.
- 最初的检查可能并不总是发现异物,导致诊断不确定性.
研究的目的:
- 确定儿科鼻腔外体的发病率,当初始检查时无法看到时.
- 为了确定与这些隐藏的异物体存在相关的患者特征.
主要方法:
- 对儿科患者呈现可疑的鼻腔外体的回顾性图表审查.
- 排除具有易见异物体的患者.
- 在剩余的队列中分析患者特征.
主要成果:
- 在最初检查中没有可见异物体的患者中,17%的患者最终被发现有异物体.
- 相关因素包括持续的症状,客观的检查结果和远程插入时间.
- 没有发现与外体物质或位置的关联.
结论:
- 儿科鼻腔外体可能存在,即使在直接或耳视镜检查中看不到.
- 了解相关特征有助于临床医生在进一步诊断措施的共同决策.
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