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Removal of a foreign body by a flexible bronchoscope in children

Removal of a foreign body by a flexible bronchoscope in chil...

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第二十次全国儿科中西医结合学术会议

作者： HAN ZHANG QINZHEN ZHANG NAN YANG TIANYUE WANG ZHIJIA WANG BING DAI YUNXIAO SHANG Department of Pediatrics Shengjing Hospital of China Medical University

Objective:To explore the clinical characteristics and the pulmonary imaging and bronchoscopic characteristics of children with a bronchial foreign body and report the advantages of using a fiber bronchoscope(FB) for its diagnosis and removal.A systematic analysis was conducted regarding the clinical characteristics,pulmonary imaging findings,bronchoscopic placement,type of foreign body,and mucosal changes after airway disruption from a foreign ***:The study group comprised 54 children(age:0-7 years) whose foreign bodies were confirmed and removed by FB in the pediatric bronchoscopy room of Shengjing Hospital of China Medical University from September 2014 to August ***:Of the 54 patients,35(65%) were male and 19(35%)were female;the median age was 22 months(range:17-25.5 months),and 45(83%)were under 3 years of *** and/or gasping were main *** breath sounds,wheezing,weakened breath sounds on the affected side and moist rales were main clinical *** was a lack of specific findings in pulmonary imaging characteristics of most *** bronchoscopy,granulation tissue surrounding the foreign body was observed in 42 cases(78%)and the time of foreign body inhalation slightly correlated with the severity of granulation hyperplasia(r = 0.44;P= 0.001).The main adverse reactions occurring during surgery were hypoxia(3 cases;6%).Conclusions:For the diagnosis of a foreign body in children,FB under local anesthesia has higher accuracy than other methods,and it is a safe and effective means to remove a bronchial foreign.

关键词： children bronchi foreign body local anesthesia fiber bronchoscope

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