论文部分内容阅读
目的：探讨经口吹气取鼻腔异物的临床实践，为临床提供参考。方法回顾性分析2013年4月～2015年5月诊治的125例儿童鼻腔异物的临床资料，分析两种治疗方法的有效性及安全性。结果经口吹气组45例患者中有6例患儿异形硬质异物、瓜子未取出（后通过其他有创方式取出），其余异物均顺利取出，无一例患儿出现鼻黏膜出血、鼻腔损伤及异物后坠等风险；使用鼻腔异物钩、枪状镊等器械组85例患者中1例患儿在取异物过程中发生异物后坠，后经检查坠入支气管内经全麻手术取出；5例患儿鼻腔表面麻醉后仍不能配合，后改为全麻下取出。由于患儿配合情况不同，出现不同程度鼻黏膜损伤致鼻腔少量出血者7例，鼻出血较严重经压迫止血者1例。结论经口吹气是针对婴幼儿的一种简单、有效、无损伤的取鼻腔异物方法，尤其是对表面光滑、无明显棱角的异物效果确切，值得临床推荐。“,”Abastract:Objective To investigate clinical practice of blowing air through the mouth removing nasal foreign bodies. Methods The clinical data of 125 patients with nasal foreign bodies treated in our hospital from April 2013 to May 2015 were retrospectively analyzed.Results Of the 45 patients treated by blowing air through the mouth removing na-sal foreign bodies,6 with special-shaped hard foreign bodies or melon seeds were not removed (by other invasive meth-ods)and 49 were removed successfully.None of the children had nasal bleeding,nasal foreign body injury and other falling risks.Of the 80 patients treated by using nasal foreign body hook,gun shaped forceps and other equipments,1 suffered foreign bodies falling to the bronchus in the process of removement and was finally removed under general anes-thesia operation,5 with nasal surface anesthesia failed and then changed to general anesthesia.Because of the different compliance of patients,there were 7 patients with a small amount of nasal bleeding and 1 with severe nasal bleeding. Conclusion Blowing air through the mouth removing nasal foreign bodies for children is a simple and effective meth-od,in particular,it has a definite effect for the foreign bodies with smooth surface and without obvious corners.