Treatment experience of critical children with tracheobronchial foreign body
10.16066/j.1672-7002.2017.08.012
- VernacularTitle:危重气管支气管异物患儿救治
- Author:
Xin WEN
;
Yingluan SONG
;
Juan WANG
;
Jing SHI
;
Jinzhu SU
;
Yanan SHI
- Keywords:
Foreign Bodies;
Trachea;
Bronchi;
Bronchoscopy;
Child
- From:
Chinese Archives of Otolaryngology-Head and Neck Surgery
2017;24(8):422-424
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE To investigate the rescue and treatment of critical children with tracheobronchial foreign body. METHODS From June 2011 to June 2015,there were 2489 children with tracheobronchial foreign bodies treated in Children's Hospital of HeBei Province, among which 11critical children who were rescued as soon as they came to the hospital. The clinical data of the 11critical children were analyzed. RESULTS All the 11 critical cases endured dyspnea of third degree or more severe and presented severe hypoxia, in which 2 children had been performed tracheal intubation before they came to the hospital and 1 child even showed the symptom of respiratory and cardiac arrest. Among these critical cases, the foreign body was removed directly without anesthesia in 1 child. The other 2 children with severe pneumothorax, mediastinal emphysema and subcutaneous emphysema in neck and chest area were treated by excision and drainage of emphysema firstly, and then the foreign bodies were extracted through bronchoscope after general anesthesia. The another 8 children were performed operations of extraction of bronchial foreign body and then the foreign bodies were taken out. All the 11 critical children were rescued successfully and no death cases happened. CONCLUSION Rapid diagnosis and rapid removal of foreign bodies is the key to save the lives of critical children with tracheobronchial foreign bodies.
