对108例用于清除气道异物的柔性支气管镜手术进行分析。

IF 1.1 Q2 MEDICINE, GENERAL & INTERNAL
Einstein-Sao Paulo Pub Date : 2023-12-22 eCollection Date: 2023-01-01 DOI:10.31744/einstein_journal/2023AO0391
Altair da Silva Costa, Addy Lidvina Mejia Palomino, Iunis Suzuki, Rodrigo Gobbo Garcia, Paulo Rogerio Scordamaglio, Marcelo Gervilla Gregorio, Felipe Nominando Diniz Oliveira, Manoel Ernesto Peçanha Gonçalves, Marcia Jacomelli
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引用次数: 0

摘要

目的:描述儿童和成人在临床、支气管镜、诊断和治疗方面的差异:描述儿童和成人在临床、支气管镜、诊断和治疗方面的差异:这项回顾性研究比较了因怀疑吸入异物而接受支气管镜检查的成人和儿童的临床和支气管镜特征。分析了性别、门诊或急诊来源、支气管镜检查结果、吸入异物的特征和并发症等数据:共有 108 名患者被纳入分析,其中 69% 的患者(30 名儿童和 44 名成人)被确诊为异物吸入。91%的患者有吸入异物的临床病史。成人的平均年龄为 65.89 (±19.75) 岁,儿童的平均年龄为 2.28 (±1.78) 岁。大多数儿童的年龄在 3 岁以下(80%),而成人的年龄大多在 70 岁或以上(54.5%)。儿童接受急诊治疗的比例高于成人。两个年龄组中最常见的异物都是有机物,主要是种子。异物最常出现的部位是成人的叶支气管和儿童的主支气管。柔性支气管镜检查是诊断和治疗的主要方法。一过性低氧血症在儿童中发生率特别高(5%):结论:异物吸入,尤其是涉及种子的异物吸入,在极端年龄段更为常见。提示吸入异物的临床病史对于确定是否需要进行支气管镜检查至关重要,应尽早进行。柔性支气管镜检查是一种有效、安全的诊断技术。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Analysis of 108 flexible bronchoscopies for the removal of foreign bodies from the airways.

Objective: To describe the clinical, bronchoscopic, diagnostic, and therapeutic aspects between children and adults.

Methods: This retrospective study compared the clinical and bronchoscopic characteristics of adults and children who underwent bronchoscopy for suspected foreign body aspiration. Data on sex, outpatient or emergency origin, bronchoscopy results, characteristics of the aspirated foreign body, and complications were analyzed.

Results: In total, 108 patients were included in the analysis, with foreign body aspiration diagnosed in 69% of patients (30 children and 44 adults). In 91% of patients, there was a clinical history suggestive of aspiration. The mean age of the adults was 65.89 (±19.75) years, and that of the children was 2.28 (±1.78) years. Most of the children were under 3 years of age (80%), while adults were mostly 70 years of age or older (54.5%). Emergency care was more common among children than adults. The most common foreign bodies found in both age groups were organic bodies, primarily seeds. The most frequent locations of foreign bodies were the lobar bronchi in adults and the main bronchi in children. Flexible bronchoscopy is the primary method for diagnosis and treatment. Transient hypoxemia occurred particularly frequently in children (5%).

Conclusion: Foreign body aspiration, particularly that involving seeds, is more common in the extremes of age. A clinical history suggestive of aspiration is crucial in determining the need for bronchoscopy, which should be performed as early as possible. Flexible bronchoscopy is an effective and safe diagnostic technique.

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来源期刊
Einstein-Sao Paulo
Einstein-Sao Paulo MEDICINE, GENERAL & INTERNAL-
CiteScore
2.00
自引率
0.00%
发文量
210
审稿时长
38 weeks
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