Clinical analysis of 84 children with trachea or bronchus foreign body

doi:10.19538/j.ek2017060616

Abstract：Objective To evaluate the clinical characteristics of children with trachea or bronchus foreign body.Methods The data of 84 children with confirmed diagnosis of trachea or bronchus foreign body was retrospectively analyzed in this study form Jun 2011 to Jun 2016 in Tianjin Children Hospital,including general situation,history of foreign body aspiration,medical history,course of disease,foreign body property,clinical and imaging characteristics.Results The rate for tracheobronchial foreign body occurring in boys and girls were 2.23:1 with the main incidence age of 6 months to 3 years old.The incidence rate in countryside was higher than that in city (69.05％ vs.30.95％),especially boys in countryside.Children who are able to provide an accurate history of foreign body aspiration may be helpful in early diagnosis and treatment of trachea or bronchus foreign body (P ＜ 0.05).The main type of foreign body was food,especially nuts.The proportion of bronchial foreign body which remained in the left or right main bronchial tubes was not different,but the number of cases in right lobe was higher than that in the left.The clinical symptom was different according to the different lesions with block of foreign bodies.The main symptom was cough (98.81％) and breezing(58.33％),with the imaging characteristics of emphysema (55.95％).Conclusion In prevention and control of tracheobronchial foreign bodies,boys under the age of 3 should be paid most attention to in rural areas.The children should be reduced contact with nuts food.The guardian must attach more importance to tracheobronchial foreign body.For children with symptom of cough and wheezing weakening breathing sounds on single side by physical examination,emphysema and pulmonary atelectasis on imaging,health providers should pay attention to the history of foreign body aspiration or cough history,and should actively perform bronchoscopy for early diagnosis and treatment.