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我院1983年以来住院治疗气管异物14例,现报告如下: 临床资料,14例中男10例,女4例。男:女2.5:1。发病年龄最小1岁,最大6岁。其中1岁2例,2岁8例,3岁2例,4岁至6岁2例。农村患儿12例,城市患儿2例,农村与城市6:1。发病至入院时间:<1天6例,～3天2例,～7天2例,～15天2例≥30天2例。最长确诊时间为32天。本组14例全部经直接喉镜及支气管镜取物,12例治愈,2例取物未成功死亡(14.3％),本组病例异物全部为植物性异物,其中葵花籽5例,花生米4例,西瓜籽2例,玉米2例,葫豆1例。入院时临床表现为:吸入后呛咳,13例,呼吸困难12例,阵咳10例,紫绀12例,烦躁不安10例,阵发性憋气6例,一侧呼吸音减弱6例,哮鸣音6例,呼吸音粗4例,湿性罗音6例,三凹征10例,气管撞击音4例。
Our hospital since 1983 hospitalized 14 cases of tracheal foreign body, are as follows: Clinical data, 14 cases of 10 males and 4 females. Male: Female 2.5: 1. The youngest age of 1 year old, maximum 6 years old. 2 cases were 1 year old, 8 cases were 2 years old, 2 cases were 3 years old and 2 cases were 4 years old to 6 years old. 12 cases of rural children, 2 cases of urban children, rural and urban 6: 1. Incidence to admission time: <1 day in 6 cases, ~ 3 days in 2 cases, ~ 7 days in 2 cases, ~ 15 days in 2 cases ≥ 30 days in 2 cases. The longest confirmed time is 32 days. The group of 14 patients were all directly laryngoscope and bronchoscopy, 12 patients were cured, 2 patients were unsuccessfully killed (14.3%). All the foreign bodies in this group were plant foreign bodies, including 5 sunflower seeds, 4 peanut For example, 2 cases of watermelon seeds, 2 cases of corn, gourd beans in 1 case. Clinical manifestations at admission were as follows: cough after inhalation, 13 cases, 12 cases of dyspnea, 10 cases of array cough, 12 cases of cyanosis, 10 cases of restlessness, 6 cases of paroxysmal suffocation, 6 cases of decreased breath sounds on one side and wheeze 6 cases of tone, 4 cases of coarse breath sounds, 6 cases of wet rales, 10 cases of triple recess and 4 cases of tracheal impact.