食道异物钳在大型气管、支气管异物取出术中的应用
敬云龙,赵斯君,黄 敏,陶礼华,彭湘粤,李 赟

湖南省儿童医院耳鼻咽喉头颈外科(湖南省长沙市,410007)

内窥镜检查; 支气管镜检查; 食道异物钳; 异物

Application of esophageal foreign body forceps in extracting large tracheal and bronchial foreign bodies.
Jing Yunlong, Zhao Sijun, Huang Min, Tao Lihua, Peng Xiangyue, LiYun.

Department of Otorhjnolaryngology,Hunan Provincial Children's Hospital,Changsha 410007,China. Corresponding author: Li Yun,Email: liyun74@16 com

Endoscopy; Bronchoscopy; Esophageal Foreign Body Forceps; Foreign Body

DOI: 10.3969/j.issn.1671— 635 201 0 014

备注

目的 探讨食道异物钳在大型气管、支气管异物取出术中的临床应用价值。 方法 回顾性分析本院收治的30例大型气管、支气管异物病例,均在全身麻醉下,用食道异物钳取出。 结果 30例均获成功。1次钳取异物成功率为5 4%,2次钳取异物成功率为3 3%,3～5次钳取异物成功率为1 3%。无窒息性异物变位所致死亡或气管、支气管壁损伤等严重并发症。 结论 应用食道异物钳可使术者更易取出大型气管及支气管异物,提高了气管、支气管异物手术的成功率和安全性。
Objective To explore the clinical application of esophageal foreign body forceps in extracting large tracheal and bronchial foreign bodies. Methods Retrospective analyses were performed for 30 cases of large tracheal and bronchial foreign bodies. Under general anesthesia,foreign bodies were extracted with forceps. Results All 30 cases were successful. The success rates of 1,2 and 3～5 times were 5 4%,3 3% and 1 3% respectively. There was no occurrence of suffocating foreign body displacement caused by death or such severe complications as tracheal and bronchial wall damage. Conclusion Application of esophageal foreign body forceps is capable of extracting large tracheal and bronchial foreign bodies and improving the success rate and safety of extraction.