Objective: To summarize the characteristics, diagnosis and treatment of respiratory foreign body. Methods: 3 595 cases of respiratory foreign body from the Affiliated Hospital of Xuzhou Medical University from 2003 to 2016 were reviewed and analyzed systematically. Different annual incidence, patient age, foreign body type, foreign body retention time, foreign body location, operation type, different seasons and urban and rural composition ratio were analyzed and compared. Results: The incidence of respiratory foreign body increased from 2003 to 2011, decreased from 2012 to 2016, and the highest incidence was 1 012 cases (28.15%) from 2011 to 2012. The 1-5 years old and 6-8 years old were the high incidence age of foreign bodies with 3 787 cases (88.65%) and 156 cases (4.34%), respectively. The phytopathic and animal foreign bodies werethe high foreign bodies types with 2 560 cases (71.21%) and 518 cases (14.41%), respectively. Most of the foreign bodies in the airway were retained for<1 week and 1 week to 1 month with 2 065 cases (57.44%) and 1 269 cases (35.30%), respectively. The foreign body in respiratory tract was mostly located in the trachea and the right main bronchus with 2 060 cases (57.30%) and 1 108 cases (30.82%), respectively. There were more people who underwent bronchoscopy and direct laryngoscopy with 2 583 cases (71.85%) and 1 009 cases (28.07%), respectively. January and February were frequently happened period with 856 cases (23.81%) and 715 cases (19.89%), respectively. There were 217 cases (6.04%) in urban areas, which was higher than that in rural areas with 3 378 cases (93.96%). Conclusion: 1-5 years old ishigh incidence age of respiratory tract foreign bodies, and the majority foreign body is phytopathicbodies.We should strength the health education of trachea and bronchus foreign body. The guardian should know the disease and its severity, and treat it in time, thus can reduce the complication of trachea and bronchus foreign body and raise the cure rate. |
[1] Global Burden of Disease Study 2013 Collaborators.Global,regional,and national incidence,prevalence,and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries,1990-2013:a systematic analysis for the Global Burden of Disease Study 2013[J].Lancet,2015,386(9995):743-800.
[2] 黄敏,彭湘粤,赵斯君,等.儿童呼吸道异物早晚期诊断与异物类型、部位及并发症的关系研究[J].临床小儿外科杂志,2017,16(2):174-177,181.
[3] YANG X J,ZHANG J,CHU P,et al.Pneumomediastinum secondary to foreign body aspiration:clinical features and treatment explorement in 39 pediatric patients[J].Chin Med J (Engl),2016,129(22):2691-2696.
[4] 鹿连伟,吴慧莹,徐文彪.儿童呼吸道异物的影像学检查及诊断[J].实用医学杂志,2017,33(13):2209-2212.
[5] 张卫杰,李培华,刘稳,等.405例幼儿呼吸道异物的流行病学现况调查[J].实用预防医学,2014,21(9):1036-1039.
[6] 神平,刘稳,李培华,等.学龄期儿童呼吸道异物特点分析及预防[J].实用预防医学,2007,14(6):1851-1853.
[7] 李慧君,杨明,王颖,等.儿童支气管异物位置分布及并发症影响因素分析[J].东南大学学报(医学版),2016,35(6):1001-1005.
[8] SOONG W J,TSAO P C,LEE Y S,et al.Retrieval of tracheobronchial foreign bodies by short flexible endoscopy in children[J].Int J Pediatr Otorhinolaryngol,2017,95(4):109-113.
[9] JANAHI I A,KHAN S,CHANDRA P,et al.A new clinical algorithm scoring for management of suspected foreign body aspiration in children[J].BMC Pulm Med,2017,17(1):61.
[10] 贾方圆,吴萍,张葆,等.胃镜治疗56例食管异物的临床分析[J].现代医学,2019,47(2):158-161.
[11] 吴亮,廖笑玲.病史、体征及影像学检查对婴幼儿可疑呼吸道异物的诊断价值研究[J].中国全科医学,2017,20(S1):241-243.
[12] PITIOT V,GRALL M,PLOIN D,et al.The use of CT-scan in foreign body aspiration in children:A 6 years' experience[J].Int J Pediatr Otorhinolaryngol,2017,102(11):169-173.
[13] 吴欢欢,仇君,贺园珍,等.儿童呼吸道异物1085例流行病学特征分析[J].中国眼耳鼻喉科杂志,2016,16(1):23-25.
[14] CHEN X,ZHANG C.Foreign body aspiration in children:Focus on the impact of delayed treatment[J].Int J Pediatr Otorhinolaryngol,2017,96(4):111-115.
[15] 成钊,孙敬武.高危疑难呼吸道异物的处理[J].临床耳鼻咽喉头颈外科杂志,2017,31(13):981-983,987.
[16] DENG L,WANG B,WANG Y,et al.Treatment of bronchial foreign body aspiration with extracorporeal life support in a child:A case report and literature review[J].Int J Pediatr Otorhinolaryngol,2017,94(3):82-86.
[17] BAKHSHAEE M,HEBRANI P,SHAMS M,et al.Psychological status in children with ear and nose foreign body insertion[J].Int J Pediatr Otorhinolaryngol,2017,92(1):103-107.
[18] CHEN Q,CHU H,TAO Y,et al.Lessons learned from 35 cases of laryngeal foreign bodies undergoing misdiagnosis in pediatric population[J].Ann Otol Rhinol Laryngol,2017,126(2):146-151.
[19] BERDAN E A,SATO T T.Pediatric airway and esophageal foreign bodies[J].Surg Clin North Am,2017,97(1):85-91.
[20] PARIDA P K,SHANMUGASUNDARAM N,GOPALAKRISHNAN S.Clinico-radiological parameters predicting early diagnosis of foreign body aspiration in children[J].Kulak Burun Bogaz Ihtis Derg,2016,26(5):268-275.
[21] 怀德,王海旭,曹影,等.疑难高危食管异物诊治分析[J].中国耳鼻咽喉头颈外科,2015,22(12):627-629. |