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A Time Series Observation of Chinese Children Undergoing rigid Bronchoscopy for an Inhaled Foreign Body： 3149 Cases in 1991-2010

引用

Chinese Medical Journal 2015年第4期128卷 504-509页

作者： Xu Zhang Wen-Xian Li Yi-Rong Cai Department of Anesthesiology Eye and ENT Hospital Fudan University Shanghai 200031 China

Background：In China,tracheobronchial foreign body （TFB） aspiration,a major cause of emergency episode and accident death in children,remains a challenge for anesthetic ***,we share our experience and discuss the anesthetic consideration and management of patients with TFB ***：This was a single-institution retrospective study in children with an inhaled foreign body between 1991 and 2010 that focused on the complications following rigid bronchoscopy （RB）.Data including the clinical characteristics of patients and TFB,anesthetic method,and postoperative severe complications were analyzed by different ***：During the 20-year study period,the charts of 3149 patients who underwent RB for suspected inhaled TFB were *** were 2079 male and 1070 female patients （1.94：1）.A nut （84％） was the most commonly inhaled *** study revealed a 9％（n =284） overall rate of severe postoperative complications related to severe hypoxemia,laryngeal edema,complete laryngospasm,pneumothorax,total segmental atelectasis,and death with incidences of 3.2％,0.9％,1.3％,0.3％,0.3％,and 0.1％,*** rates of preoperative airway impairment,negative findings of TFB,and adverse postoperative events have been on the rise in the past 5 ***：The survey results confirmed that hypoxemia remains the most common postoperative complication in different *** controlled ventilation and spontaneous ventilation were effective during the RB extraction of the foreign body at our hospital in the modern technique *** active respiratory symptom was commonly seen in the groups with negative findings.

关键词： Complication Inhaled Foreign Body rigid bronchoscope

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