|
|
小儿气管支气管异物诊治进展
|
Abstract:
小儿气管支气管异物是儿科最常见的急危重症之一，可致多种急性或慢性并发症，严重者可导致心肺骤停和猝死。因此，及时诊断及治疗气管支气管异物是减少并发症和降低死亡率的关键。本文简要介绍了该病的流行病学、临床特征以及治疗的最新进展，旨在提升临床对该疾病的早期识别和诊疗，提高全民预防意识，降低造成的意外伤害及减少并发症的发生。
Tracheobronchial foreign body in children is one of the most common acute and critical diseases in pediatrics, which can lead to a variety of acute or chronic complications, serious patients may have cardiopulmonary arrest and sudden death. Therefore, timely diagnosis and treatment of tracheobronchial foreign bodies are crucial for reducing complications and mortality rates. This article briefly introduces the epidemiology, clinical features, and recent advances in the management of this disease, with the aim to enhance early clinical recognition and diagnosis of this disease in clinical practice, raise public awareness of prevention, and ultimately decrease the number of unintentional injuries and complications caused by this disease.
| [1] | 中华医学会耳鼻咽喉头颈外科学分会小儿学组. 中国儿童气管支气管异物诊断与治疗专家共识[J]. 中华耳鼻咽喉头颈外科杂志, 2018, 53(5): 325-338. |
| [2] | Bajaj, D., Sachdeva, A. and Deepak, D. (2021) Foreign Body Aspiration. Journal of Thoracic Disease, 13, 5159-5175. https://doi.org/10.21037/jtd.2020.03.94 |
| [3] | Wu, X., Wu, L., Chen, Z. and Zhou, Y. (2018) Fatal Choking in Infants and Children Treated in a Pediatric Intensive Care Unit: A 7-Year Experience. International Journal of Pediatric Otorhinolaryngology, 110, 67-69. https://doi.org/10.1016/j.ijporl.2018.04.026 |
| [4] | 韩琨, 项骁, 王旸, 等. 北京市7334例住院儿童意外伤害流行病学特征分析[J]. 中华疾病控制杂志, 2015, 19(5): 431-434. |
| [5] | Eren, Ş., Balci, A.E., Dikici, B., Doblan, M. and Eren, M.N. (2003) Foreign Body Aspiration in Children: Experience of 1160 Cases. Annals of Tropical Paediatrics, 23, 31-37. https://doi.org/10.1179/000349803125002959 |
| [6] | Sahin, A., Meteroglu, F., Eren, S. and Celik, Y. (2013) Inhalation of Foreign Bodies in Children. Journal of Trauma and Acute Care Surgery, 74, 658-663. https://doi.org/10.1097/ta.0b013e3182789520 |
| [7] | Sun, J.Q., et al. (2009) Rigid Bronchoscopy for Inhaled Pen Caps in Children. Journal of Pediatric Surgery, 44, 1708-1711. https://doi.org/10.1016/j.jpedsurg.2008.11.035 |
| [8] | Tan, H.K.K., Brown, K., McGill, T., Kenna, M.A., Lund, D.P. and Healy, G.B. (2000) Airway Foreign Bodies (FB): A 10-Year Review. International Journal of Pediatric Otorhinolaryngology, 56, 91-99. https://doi.org/10.1016/s0165-5876(00)00391-8 |
| [9] | Lima, J.A. (1989) Laryngeal Foreign Bodies in Children: A Persistent, Life‐Threatening Problem. The Laryngoscope, 99, 415-420. https://doi.org/10.1288/00005537-198904000-00011 |
| [10] | Tang, L., Xu, Y., Wang, Y., Wang, C., Zhu, G., Bao, X., et al. (2009) Airway Foreign Body Removal by Flexible Bronchoscopy: Experience with 1027 Children during 2000-2008. World Journal of Pediatrics, 5, 191-195. https://doi.org/10.1007/s12519-009-0036-z |
| [11] | Hui, H., Na, L., Zhijun, C.J., Fugao, Z.G., Yan, S., Niankai, Z.K., et al. (2008) Therapeutic Experience from 1428 Patients with Pediatric Tracheobronchial Foreign Body. Journal of Pediatric Surgery, 43, 718-721. https://doi.org/10.1016/j.jpedsurg.2007.10.010 |
| [12] | Lea, E., Nawaf, H., Yoav, T., Elvin, S., Ze’ev, Z. and Amir, K. (2005) Diagnostic Evaluation of Foreign Body Aspiration in Children: A Prospective Study. Journal of Pediatric Surgery, 40, 1122-1127. https://doi.org/10.1016/j.jpedsurg.2005.03.049 |
| [13] | 李文峰. 64层螺旋CT扫描与普通X线检查在诊断气管支气管异物中的临床应用价值探讨[J]. 中文科技期刊数据库(文摘版)医药卫生, 2024(9): 45-48 |
| [14] | 郭刚智, 韦丹. 2286例儿童意外伤害的临床分析[J]. 中国小儿急救医学, 2017, 24(2): 128-131 |
| [15] | 程磊. 探讨放射影像技术在小儿气管支气管异物诊断中的应用[J]. 世界最新医学信息文摘, 2019, 19(38): 20, 29. |
| [16] | 陈伟超, 余宏川, 孙欣荣, 等. 儿童气管支气管异物延误诊断的原因及影响分析[J]. 中国妇幼健康研究, 2021, 32(1): 1-5. |
| [17] | 辛丽红, 王贞, 余宏川. 电子支气管镜诊治儿童气管支气管异物的临床价值[J]. 中国内镜杂志, 2016, 22(10): 43-46. |
| [18] | Tenenbaum, T., Kähler, G., Janke, C., Schroten, H. and Demirakca, S. (2017) Management of Foreign Body Removal in Children by Flexible Bronchoscopy. Journal of Bronchology & Interventional Pulmonology, 24, 21-28. https://doi.org/10.1097/lbr.0000000000000319 |
| [19] | Faro, A., Wood, R.E., Schechter, M.S., Leong, A.B., Wittkugel, E., Abode, K., et al. (2015) Official American Thoracic Society Technical Standards: Flexible Airway Endoscopy in Children. American Journal of Respiratory and Critical Care Medicine, 191, 1066-1080. https://doi.org/10.1164/rccm.201503-0474st |
| [20] | Rodrigues, A.J., Scussiatto, E.A., Jacomelli, M., Scordamaglio, P.R., Gregório, M.G., Palomino, A.L.M., et al. (2011) Bronchoscopic Techniques for Removal of Foreign Bodies in Children’s Airways. Pediatric Pulmonology, 47, 59-62. https://doi.org/10.1002/ppul.21516 |
| [21] | Yoon, J., Kim, K., Lee, H., Yang, E., Kim, H., Chun, Y., et al. (2018) Foreign Body Removal by Flexible Bronchoscopy Using Retrieval Basket in Children. Annals of Thoracic Medicine, 13, 82-85. https://doi.org/10.4103/atm.atm_337_17 |
| [22] | Ma, W., Hu, J., Yang, M., Yang, Y. and Xu, M. (2020) Application of Flexible Fiberoptic Bronchoscopy in the Removal of Adult Airway Foreign Bodies. BMC Surgery, 20, Article No. 165. https://doi.org/10.1186/s12893-020-00825-5 |
| [23] | Soong, W., Tsao, P., Lee, Y. and Yang, C. (2017) Retrieval of Tracheobronchial Foreign Bodies by Short Flexible Endoscopy in Children. International Journal of Pediatric Otorhinolaryngology, 95, 109-113. https://doi.org/10.1016/j.ijporl.2017.01.033 |
| [24] | Sırmalı, M., Karasu, S., Türüt, H., Gezer, S., Kaya, S., Taştepe, İ., et al. (2007) Surgical Management of Bronchiectasis in Childhood. European Journal of Cardio-Thoracic Surgery, 31, 120-123. https://doi.org/10.1016/j.ejcts.2006.10.021 |
| [25] | Andrade, C.F., Melo, I.A., Holand, A.R.R., Silva, É.F., Fischer, G.B. and Felicetii, J.C. (2013) Surgical Treatment of Non-Cystic Fibrosis Bronchiectasis in Brazilian Children. Pediatric Surgery International, 30, 63-69. https://doi.org/10.1007/s00383-013-3420-7 |
| [26] | Endoh, M., Oizumi, H., Kanauchi, N., Kato, H., Ota, H., Suzuki, J., et al. (2016) Removal of Foreign Bodies from the Respiratory Tract of Young Children: Treatment Outcomes Using Newly Developed Foreign-Body Grasping Forceps. Journal of Pediatric Surgery, 51, 1375-1379. https://doi.org/10.1016/j.jpedsurg.2016.02.045 |
| [27] | Heimlich, H.J. (1975) A Life-Saving Maneuver to Prevent Food-Choking. JAMA: The Journal of the American Medical Association, 234, 398-401. https://doi.org/10.1001/jama.1975.03260170034021 |
| [28] | 杭金国, 张燕, 管敏昌, 等. 经纤维支气管镜应用冷冻治疗仪行儿童支气管异物取出术的有效性及安全性[J]. 中国内镜杂志, 2017, 23(2): 70-72. |
| [29] | 贺贝贝, 黄英. 纤维支气管镜在儿童支气管异物诊治中应用进展[J]. 中国实用儿科杂志, 2014, 29(3): 235-238. |
