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首页> 外文期刊>Otolaryngology Online Journal >Management of Tracheo Bronchial Foreign Bodies in Children - A Retrospective Study of series of 50 cases
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Management of Tracheo Bronchial Foreign Bodies in Children - A Retrospective Study of series of 50 cases

机译:儿童气管支气管异物的处理—系列50例回顾性研究

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Foreign body aspiration in the airway of children is a life threatening clinical situation responsible [1] for many deaths each year, with children less than two years of age being most commonly affected . The peak incidence of inhaled foreign bodies in early childhood is because of two reasons: 1) The exploring nature of the young child who is often edentulous and has a tendency to place any object in the mouth, the solid objects entering the pharynx elicits a startle response permitting the [2] foreign body to enter the open larynx during forced inspiration . 2) High incidence of upper respiratory tract infection makes the young children mouth breathers. Also due to the presence of coughing, the inhalation of food particles may easily occur with sharp intake of [3] breath following a bout of cough . The course of illness after a foreign body lodges in the air passage depends on the characteristics of the foreign body and its length of stay. The unsuspected longstanding foreign bodies may lead to complications such as pneumonia, bronchiectasis, atelectasis, and even death.Many advances have been made since Chevalior Jackson described the technique of the removal of foreign bodies from the airway and with the advent of ventilating bronchoscope has greatly [4] improved the illumination and thus facilitates the endoscopist to remove foreign bodies easily .
机译:儿童气道中的异物吸入是危及生命的临床情况,[1]每年导致许多死亡,其中以两岁以下的儿童最为普遍。幼儿吸入异物的高峰发生是由于两个原因:1)幼儿的探索性通常是无牙的并且倾向于将任何物体放在嘴里,进入咽部的固体物体会引起惊吓。允许[2]异物在强制吸气过程中进入开放式喉部。 2)上呼吸道感染的高发使幼儿口呼吸。同样由于咳嗽的存在,在咳嗽后突然摄入[3]的呼吸,很容易吸入食物颗粒。异物进入空气通道后的病程取决于异物的特性及其停留时间。长期以来未曾怀疑的异物可能导致诸如肺炎,支气管扩张,肺不张甚至死亡等并发症。自从Chevalior Jackson描述了从气道清除异物的技术以来,已经取得了很多进展,并且随着通气支气管镜的出现, [4]改善了照明,因此便于内镜医师轻松清除异物。

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