赣南医学院学报2024,Vol.44Issue(4) :396-399.DOI:10.3969/j.issn.1001-5779.2024.04.011

成人气管支气管异物40例临床分析

Clinical analysis of 40 cases of tracheobronchial foreign bodies in adults

吴易路 周建荣
赣南医学院学报2024,Vol.44Issue(4) :396-399.DOI:10.3969/j.issn.1001-5779.2024.04.011

成人气管支气管异物40例临床分析

Clinical analysis of 40 cases of tracheobronchial foreign bodies in adults

吴易路 1周建荣2
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作者信息

  • 1. 赣南医科大学第一临床医学院
  • 2. 赣南医科大学第一附属医院呼吸与危重症医学科,江西 赣州 341000
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摘要

目的:探讨成人气管支气管异物的临床特点,提高临床医师对成人气管支气管异物的诊治水平.方法:回顾性分析赣南医科大学第一附属医院2019年10月至2022年6月确诊为气管支气管异物40例成人住院患者的临床资料.结果:40例患者中男25例(62.5%),女15例(37.5%),平均年龄(62.2±16.6)岁;有26例(65.0%)无明确异物吸入史;异物最常见的部位是右肺下叶,占12例(30.0%);40例患者中,37例(92.5%)经支气管镜成功取出.结论:成人气管支气管异物起病隐匿,临床表现缺乏特异性.大部分患者无明确异物吸入史,支气管镜是气管支气管异物诊断和治疗的有效手段.

Abstract

Objective:To explore the clinical characteristics of tracheobronchial foreign bodies in adults and to improve clinicians'diagnosis and treatment of tracheobronchial foreign bodies in adults.Methods:The clinical data of 40 hospitalized adult patients diagnosed with tracheobronchial foreign bodies from October 2019 to June 2022 in The First Affiliated Hospital of Gannan Medical University were retrospectively analyzed.Results:Of the 40 patients,25(62.5%)were male and 15(37.5%)were female,with a mean age of(62.2±16.6)years old;26 cases(65.0%)had no clear history of foreign body aspiration;the most common site of foreign body was the lower lobe of the right lung,accounting for 12 cases(30.0%);of the 40 patients,37 cases(92.5%)were successfully removed by bronchoscopy.Conclusion:The onset of tracheobronchial foreign bodies in adults is occult and the clinical manifestations lack specificity.Most patients do not have a clear history of foreign body inhalation.Bronchoscopy is an effective approach to the diagnosis and treatment of tracheobronchial foreign bodies.

关键词

气管支气管异物/临床分析/支气管镜

Key words

Tracheobronchial foreign body/Clinical analysis/Bronchoscopy

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出版年

2024
赣南医学院学报
赣南医学院

赣南医学院学报

影响因子:0.622
ISSN:1001-5779
参考文献量19
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