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目的探讨重症幼儿气管支气管异物诊断、治疗的最佳方案。方法回顾性分析5例重症幼儿气管支气管异物的临床病历资料,研究其诊治过程。结果 5例均在全身静脉复合麻醉下,异物经硬支气管镜取出。痊愈出院4例,遗留缺氧缺血性脑病1例。结论快速诊断,术前认真仔细评估,适时实施有效方法和围手术期治疗,有效降低小儿气管支气管异物并发症出现,降低死亡率。
Objective To discuss the best scheme of diagnosis and treatment of tracheobronchial foreign body in severe children. Methods A retrospective analysis of 5 cases of severe tracheobronchial foreign body clinical medical records, to study the diagnosis and treatment process. Results 5 cases were under general anesthesia intravenous anesthesia, foreign body by bronchoscopy removed. Four patients were cured and left with one case of hypoxic-ischemic encephalopathy. Conclusions Rapid diagnosis, careful and careful assessment before surgery, effective implementation of timely and perioperative treatment, reduce the incidence of pediatric tracheobronchial foreign body complications, reduce mortality.