【摘要】 [目的]探讨呼吸道异物救治当中一些特殊情况的发生原因和处理方法。[方法]总结分析西安交通大学第二医院1965至2000年收治的呼吸道异物病人3 306例。年龄最小4个月,最大68岁,其中3岁以下2 208例。[结果]上述病例中气管切开97例,咳出41例,开胸12例,经口支气管镜检取出3156例。死亡24例。[结论]对在呼吸道异物救治当中出现的特殊情况要对症处理:注意气管切开的时机;选择适当的麻醉,掌握好麻醉深度;特别注意变位性异物和喘息型气管异物的处理;特殊异物要选择适当的器械和正确的方法,必要时请胸科开胸取异物;正确使用心肺复苏,妥善处理并发症和后遗症。更多还原

【Abstract】 [Objective] To study the etiology and management of special situations in rescuing patients with foreign bodies (FBs) in airway. [Methods] A total of 3 306 cases with airway FBs treated in our hospital from 1965 to 2000 were analyzed. The patients aged from 4 months to 68 years, in which majority were under 3 years old (2 208 cases). [Results] Tracheotomy were processed in 97 cases (2.93%). 3282 cases (99.27%) were cured (transoral approach bronchoscopes in 3 156 cases, thoracotomy in 12 cases and FBs expectorated in 41 cases). 24 patients were died. [Conclusion] Patients should be treated according to the situation respectively. It is important to process tracheotomy at the right moment. Type of anesthesia should be selected carefully and suitably. Type of instrument should be selected according to different FBs. The treatment of ectopic and gasping FBs are difficult and should be very careful. Sometimes thoracotomy is necessary. It is very useful to process cardio-pulmonary resuscitation correctly and skilled.更多还原