喉-气管-支气管异物:卢森堡母婴大学医院十年活动评估

Y. Sidibé, Djibril Samaké, Abraham Diarra, Idrissa Konaté, B. Sanogo, Abdoul Traoré, K. Diarra, A. Coulibaly, Kadidiatou Singaré, Mohamed Keita
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摘要

目的:研究喉-气管-支气管异物的流行病学、临床和治疗方面的问题。材料和方法:这是一项回顾性横断面研究,重点关注 "卢森堡 "母婴大学医院中心自 2013 年 3 月 31 日至 2023 年 3 月 31 日期间收集的 41 例喉-气管-支气管异物病例。结果:共收集到 41 例喉-气管-支气管异物。男性占 65.9%。两岁以下儿童占 56.1%。就诊原因为呼吸困难的占 73.2%,咳嗽的占 26.8%。51.2% 的患者就诊时间在 48 小时之内,最长时间为 6 小时至 11 个月。病史显示,78%的病例有穿刺综合征。辅助检查首先是胸部正侧位X光片。75.6%的病例未发现异物。除一例在转入急诊室时死亡的病例外,其他病例均接受了内窥镜检查。63.4%的病例异物位于右主支气管。70.7%的病例异物为有机物,21 例发现花生种子(51.21%)。在抗生素和皮质激素治疗下,所有病例的术后过程都很简单。结论喉-气管-支气管异物主要发生在幼儿身上。最有提示性的征兆是穿透综合征。异物取出必须在最佳条件下由经验丰富的团队进行。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Laryngo-Tracheo-Bronchial Foreign Bodies: Assessment of 10 Years of Activity at the Luxembourg Mother-Child University Hospital
Aim: Study the epidemiological, clinical and therapeutic aspects of laryngo-tracheo-bronchial foreign bodies. Materials and method: This was a retrospective cross-sectional study which focused on 41 cases of laryngo-tracheo-bronchial foreign bodies collected at the Mother-Child University Hospital Center “Le Luxembourg”, from March 31, 2013 to March 31, 2023. Results: Forty-one cases of laryngo-tracheobronchial foreign bodies were collected. The male gender represented 65.9%. Children under 2 years old accounted for 56.1%. The reasons for consultation were dyspnea in 73.2% and cough in 26.8%. The consultation time was 51.2% in the first 48 hours with extremes of 6 hours to 11 months. The history revealed a penetration syndrome in 78% of cases. The complementary examination of first resort was the front and lateral chest radiography. He did not visualize a foreign body in 75.6% of cases. Endoscopy was performed in all cases except for one case who died during transfer to the emergency room. The location was the right main bronchus in 63.4% of cases. The foreign bodies were organic in nature in 70.7% and 21 cases of peanut seed was found (51.21%). The postoperative course was simple in all cases under antibiotic-corticotherapy treatment. Conclusion: Laryngo-tracheo-bronchial foreign bodies predominate in young children. The most suggestive sign is penetration syndrome. The extraction must take place in the best conditions with a team experienced in this exercise.
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