Dignosis And Treatment Of397Children With Tracheobronchial Foreign Body

PART ONE：CLINICAL ANALYSIS OF397CHILDRENWITH TRACHEOBRONCHIAL FOREIGN BODYObjectiv: To explore the clinical characteristics and the influencefactors of preoperative pulmonary complications of pediatric foreignbody，and to reduce its complication and morbidity.Methods： Analysis the clinical data of397cases of childrentracheobronchial foreign body from2012in Children’s Hospital ofChongqing Medical University。Divided according to age into the group ofinfants (<1year), child care group (1-3years), preschool group(3-5years),and school age group (6-12years)；to course of disease divided into: GroupA (duration≤24hours), Group B (duration between24hours to7days),Group C (duration>7days);to foreign body position divided into: group A(carinaabove), group B (left and right main bronchus opening), group C(leaves, segmental bronchi).Results：In397patients，in the infants group，plant foreign bodieswere50cases，animal foreign bodies were9cases，chemical compoundsforeign bodies were1cases；in the child care group，plant foreign bodieswere261cases，animal foreign bodies were5cases，chemical compounds foreign bodies were3cases，metallic foreign bodies were2case；in thepreschool group，plant foreign bodies were50cases，chemical compoundsforeign bodies were2cases；in the school age group，plant foreign bodieswere5cases，chemical compounds foreign bodies were9cases。Plantforeign body is the most common preoperative pulmonary complicationscaused by foreign body type.There are Statistically significant among theforeign body retention time, location,with the preoperative pulmonarycomplication rate （P＜0.05）。Conclusion：①The complication rate of children tracheobronchialforeign body have a Positive correlation with the course of the disease,foreign body position, and timely treatment can reduce the incidence ofcomplications.②Plant foreign body is the main types of tracheobronchialforeign body, also contributed to the major types of preoperative pulmonarycomplications, animals foreign body occurs mainly in infants and youngchildren, the chemical synthesis of foreign bodies occurs mainly inschool-age children. Strengthen publicity and education of the public health,it is important to take precautions for all ages. tracheobronchial PART TWO：DIAGNOSIS AND TREATMENT OF56CHILDREN WITH OCCULT TRACHEOBRONCHIALFOREIGN BODYObjectiv: To explore the clinical features, diagnosis and treatment ofhildren with occult airway foreign body to improve clinician diagnosisnd treatment of occult tracheobronchial foreign body, in order to reducehe misdiagnosis rate of tracheobronchial foreign body.Methods：Retrospective analysis of2012children admitted to ourospital with tracheobronchial foreign body cases,397cases without alear foreign body inhalation history of56patients,analysis of their general,linical manifestations, foreign body features, and diagnosis and treatmentethods.Results：Infants and young children in56cases of43cases (77%),lant foreign body is the main types of the foreign body,Their clinicalanifestations of lack of specificity，Repeated coughing roar asthma is theost important clinical manifestations，some of them have asymmetricung breath sounds,and pulmonary complications is high。All patients relyn auxiliary diagnosed，including chest X-ray diagnosis in12cases,aryngoscopy confirmed2cases， multi-slice CT and airwayhree-dimensional reconstruction diagnosed36cases, bronchofibroscopyonfirmed6cases，underwent bronchoscopy surgery after diagnosis,uccessfully remove the foreign body. Conclusion：Repeated coughing、roar asthma where there is no clearhistory of foreign body aspiration in children, should be carefully examinedand the early line of3D CT or fiber bronchoscopy check, confirm thediagnosis, to avoid misdiagnosis.