【摘要】 目的总结儿童鼻腔异物的诊治经验。方法回顾性分析2005年1月~2012年12月诊治的117例鼻腔异物患儿的临床资料、治疗方法及并发症情况。结果 117例患儿中98例在表面麻醉下成功取出异物,19例在全身麻醉鼻内镜下成功取出异物。其中8例碱性纽扣性电池异物患儿取出时伴有鼻中隔穿孔2例,术后1周穿孔1例,经对症支持治疗后穿孔部位未持续扩大;术后并发鼻-鼻窦炎患儿16例,经鼻用激素、抗生素及黏膜促排剂治疗后好转;鼻腔粘连7例,经激光切除粘连带。结论加强儿童看护人员的宣教杜绝鼻腔异物的发生。发生鼻腔异物应及时正确处理。对于碱性纽扣式电池,需尽早异物取出后重视鼻腔反复冲洗及创面药物治疗,避免并发症的出现及加重。更多还原

【Abstract】 Objective To sum up the experience for the diagnosis and management of nasal foreign body in children. Methods Clinical data of 117 pediatric patients with nasal foreign body was analyzed retrospectively. Results Of all 117 cases,the foreign body was removed under topical anesthesia in 98,and endoscopically under general anesthesia in 19. In 8 children with alkaline button battery,intra-operative and postoperative perforation of nasal septum was observed in 2 cases and one respectively. Postoperative rhinosinusitis occurred in 16 children,which was cured with nasal steroid sprays,antibiotics and secretolytic drugs. Nasal adhesion occurred in 7 cases and got cured by laser excision. Conclusions The parents and caregivers should be well educated about the potential hazards associated with nasal foreign body. Once nasal foreign body happens,timely and proper management is essential for good prognosis. As to alkaline button battery in nose,early removal,nasal irrigation and drug therapy of wound are indispensible to avoid occurrence and exacerbation of nasal complications.更多还原