Clinical analysis of tracheobronchial foreign bodies combined with atelectasis in children
10.3760/cma.j.issn.1671-7368.2017.11.018
- VernacularTitle:儿童下呼吸道异物合并阻塞性肺不张62例临床分析
- Author:
Hui ZHANG
1
;
Weixi ZHANG
;
Haijie XIANG
;
Ruru CHEN
;
Changchong LI
Author Information
1. 325027,温州医科大学附属第二医院育英儿童医院儿科
- Keywords:
Child;
Foreign bodies;
Pulmonary atelectasis;
Bronchoscopy
- From:
Chinese Journal of General Practitioners
2017;16(11):893-896
- CountryChina
- Language:Chinese
-
Abstract:
Clinical data of 62 cases of tracheobronchial foreign bodies with pulmonary atelectasis admitted in Second Affiliated Hospital and Yuying Children′s Hospital during January 2007 to December 2016 were retrospectively analyzed .There were 40 boys and 22 girls aged 9 months to 10 years, and the symptom onset ranged from 6 hours to 4 months prior to medical intervention .The foreign bodies were vegetables in 55 (88.71%), pieces of meat in 3 (4.84%) and chemical product in 4 cases (6.45%). Sixty patients recovered after medical intervention , 1 died preoperatively and 1 died of severe reexpansion pulmonary edema ( RPE) .The foreign bodies were successfully removed with rigid bronchoscopy in a single attempt in 47 children (77.05%), 1 child (1.64%) required two attempts to completely remove the foreign bodies;10 children ( 16.39%) were treated with fiberoptic bronchoscopy;3 children ( 4.92%) received thoracotomy , in which 1 child ( 1.64%) received a lobectomy due to pulmonary atelectasis and lung consolidation during operation .Conclusion Foreign bodies combined with pulmonary atelectasis in children are likely to be misdiagnosed , which led to severe adverse events . RPE is a serious postoperative complication of children receiving rigid bronchoscopy as a treatment , especially those diagnosed with tracheobronchial foreign bodies combined with pulmonary atelectasis .
