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  • Title: [Analyses of diagnosis and treatment of foreign body aspiration in children with tracheobronchial variations].
    Author: Wang WW, Cheng HJ, Li M, Yin ZH, Sun ZW, Li SC, Wu TY, Wang GK.
    Journal: Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi; 2019 Oct 07; 54(10):760-763. PubMed ID: 31606989.
    Abstract:
    Objective: To investigate the key issues in the diagnosis and treatment of foreign body aspiration in children with tracheobronchial variations. Methods: A retrospective study was performed for 11 pediatric patients who were treated in Department of Otorhinolaryngology and Head and Neck Surgery, Henan Province People's Hospital after a diagnosis of foreign body aspiration with tracheobronchial variations between January 2015 and December 2017. There were 7 males and 4 females among the 11 cases of foreign body aspiration with tracheobronchial variations, ranging between 9 months and 11 years of age. Results: Among 11 cases, the types of variationswere tracheal bronchus in 9 cases, bridging bronchus in 1 case and simple tracheal stenosis in 1 case. All of the pediatric patients were under general anesthesia, and the foreign bodies were removed by bronchoscopy successfully with no significant complications. Conclusions: The possibility of tracheobronchial variations should be considered in children with recurrent wheezing and poor efficacy of regular treatment before foreign body aspiration. Removal of foreign body via rigid bronchoscope under general anesthesia is a safe and effective treatment. These children are needed to combine the situation oftracheobronchial variations and the location of foreign bodies to guide the operation, and strengthened the perioperative treatment. 目的： 探讨合并气管畸形的儿童气管支气管异物的诊断及治疗要点。 方法： 回顾性收集分析2015年1月至2017年12月在河南省人民医院耳鼻咽喉头颈外科诊治的气管畸形合并气管支气管异物的患儿11例，男7例，女4例，年龄9个月~11岁。 结果： 11例气管畸形合并气管畸形的儿童气管支气管异物中，气管性支气管合并异物者9例，支气管桥合并异物者1例，单纯气管狭窄合并异物者1例，所有患儿均在全身麻醉下经硬质支气管镜异物取出，无并发症发生。 结论： 对于异物呛咳之前即有反复喘息及正规治疗效果不佳的患儿应想到气管畸形的可能，通过术前影像学检查可明确气管畸形的类型及异物的位置，全身麻醉下经硬质支气管镜异物取出是安全、有效的治疗方式，此类患儿需结合气管畸形的情况及异物的位置设计手术方案，并加强围手术期处理。.
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