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| Clinical analysis of 674 cases of foreign bodies aspiration in the respiratory tract in children |
| ZHANG Hui, HUANG Qiuling, ZHANG Weixi, LI Changchong. |
| Department of Pediatric Respiratory, the Second Affiliated Hospital & Yuying Children’s Hospital of Wenzhou Medical University, Wenzhou, 325027 |
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| Cite this article: |
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ZHANG Hui,HUANG Qiuling,ZHANG Weixi, et al. Clinical analysis of 674 cases of foreign bodies aspiration in the respiratory tract in children[J]. JOURNAL OF WEZHOU MEDICAL UNIVERSITY, 2017, 47(12): 916-918.
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Abstract Objective: To investigate the clinical characteristics of foreign bodies aspiration in the respiratorytract in children. Methods: A retrospective study was carried out, which involved 674 children of foreign bodies aspiration, who received therapy in the Second Affiliated Hospital & Yuying Children’s Hospital of Wenzhou Medical University from January 2011 to December 2016. Results: The ages of the children ranged from 6-month to 12-year old, and the duration of symptoms ranged from 1 hours to 12 months prior to medical intervention. From the initial 674 involved cases, 586 (86.94%) were caused by vegetable foreign bodies, 36 (5.34%) were pieces of animal food, other 38 (5.64%) were special-type foreign bodies, and the remaining 14 (2.08%) were other types. In those 674 cases, 641 children (95.25%) required therapy of rigid bronchoscopy, 19 (2.82%) received fiberoptic bronchoscopy, 11 (1.63%) were treated by laryngoscopy, 2 received thoracotomy, and 1 coughed up foreign body by himself. As a result of the treatment, 672 recovered after medical intervention, 1 was left with serious neurological sequelae and 1 died. Conclusion: Respiratory tract foreign body aspiration in children leads to severe adverse events. In order to diagnose and treat the children with foreign bodies timely, it is crucial to perform a comprehensive early examination for the children with foreign bodies. Rigid bronchoscopy is one of the most popular methods being used in clinical in removing respiratory airway foreign bodies, however, the advantages of fiberoptic bronchoscopy also should not be neglected.
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Received: 26 April 2017
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