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气管支气管异物是我科常见急症.异物种类很多。近年来由于自动铅笔的广泛使用,使学龄儿童自动铅笔头类异物逐年增加。笔者1年来处理各种气管异物258例,10例是自动铅笔头,此类异物多嵌顿于支气管内,不易取出,常出现各种并发症。笔者采用三种不同器械均取出异物,现就其优缺点分析如下: 一、临床资料:10例均为学龄儿童.6～12岁.男8人,女2人,左支气管异物6例,右支气管物4例,有明确异物吸入史,查体患肺呼吸音明显减弱或消失。X光检查,患肺不张4例,患侧肺下叶不张4例,患删肺透光减低2例。
Tracheobronchial foreign body is a common emergency in our department. There are many foreign bodies. In recent years, due to the widespread use of automatic pencil, so that school-age children pencil head foreign body increased year by year. The author a year to deal with a variety of tracheal foreign body in 258 cases, 10 cases are automatic pencil head, such foreign body embedded in the bronchus, not easy to remove, often a variety of complications. The author uses three different devices are removed foreign body, now on their advantages and disadvantages are analyzed as follows: First, the clinical data: 10 cases were school-age children .6 to 12 years old. Male 8, female 2, left bronchial foreign body in 6 cases, Bronchial in 4 cases, a clear history of foreign body aspiration, physical examination of lung breath sounds significantly weakened or disappeared. X-ray examination, suffering from atelectasis in 4 cases, ipsilateral lower lung atelectasis in 4 cases, impaired lung transmission of light in 2 cases.