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含漱气泡法治疗咽喉部鱼刺嵌顿

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目的 探讨含漱气泡法(gargle-bubble method,GBM)治疗咽喉部鱼刺嵌顿的临床应用可行性.方法 回顾性分析 2019 年 1 月至 2022 年 12 月主诉为咽喉部鱼刺嵌顿的患者 531 例资料,A组患者误食鱼刺后曾自行采用吞服食醋、馒头等方式处理(n=263);B组患者误食鱼刺后未采取直接采取GBM处置(n=268).比较两组间有效率.结果 A组吞服食醋、馒头处理鱼刺有效率为15.2%(n=40),84.8%(n=223)患者处理失败,接受进一步医疗处置;B组GBM处理鱼刺有效率为 98.1%(n=263),0.8%(n=2)患者拒绝实施GBM,1.1%(n=3)患者处理失败.结论 GBM能有效排出咽喉部鱼刺,操作简单,是咽喉部鱼刺嵌顿的有效急救方案.
Gargle-bubble method for the treatment of pharyngeal fishbone impaction
Objective To explore the feasibility of using the gargle-bubble method(GBM)to treat laryngopharyngeal fishbone impaction.Methods A total of 531 patients with laryngopharyngeal fishbone impaction from January 2019 to December 2022 were retrospectively analysed.Patients in group A(n=263)swallowed vinegar or steamed buns by themselves,and patients in group B were treated directly with GBM(n=268).The effective rates of the two groups were compared.Results In group A,the effective rate of swallowing vinegar or steamed buns was 15.2%(n=40),and 84.8%(n=223)of patients failed and received further medical treatment.In group B,the effective rate of GBM was 98.1%(n=263),0.8%(n=2)of patients refused to undergo GBM and 1.1%(n=3)of patients failed to treatment.Conclusion GBM can be considered as a simple and effective self-treatment for laryngopharyngeal fish bone impac-tion,which is worthy of popularisation and application.

Fish boneLaryngopharynxForeign bodiesGargle-bubble method

王新月、王兴蕾、陆美琪、赵洁、王晓川、焦亚、姜笃银、许安廷

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山东大学第二医院急诊医学中心,山东 济南 250033

山东大学第二医院整形烧伤外科,山东 济南 250033

山东大学第二医院耳鼻喉头颈外科,山东 济南 250033

鱼刺 咽喉部 异物 含漱气泡法

国家自然科学基金资助项目王正国创伤医学发展基金会山东省科技攻关项目山东大学临床研究项目济南市科技计划项目

81873934SZYZ-TR-092019GGX105012021SDUCRCA008202225065

2024

山东大学学报(医学版)
山东大学

山东大学学报(医学版)

CSTPCD北大核心
影响因子:0.841
ISSN:1671-7554
年,卷(期):2024.62(6)