Diagnosis and treatment of tracheobronchial foreign bodies in 180 cases

Objevtive To improve the diagnosis and treatment by analyzing the clinical characteristics of tracheobronchial foreign bodies in children.Methods 180 cases of tracheobronchial foreign bodies,from January 2008 to September 2013,were retrospectively analyzed.Results Foreign matter were plant in 173 cases,metal in 2 cases,plastic in2 cases,and unclassified in 3 cases.The foreign bodies were successfully removed through the Hopkin bronchoscope in176 patients under surface anesthesia and through the incision of tracheotomy in the other 4 patients.Second surgery to remove the foreign body were performed in 15 cases.No post-operative complications occured.No foreign body was found in X-ray examination 3 days later after the operation.Conclusion History of foreign body,clinical symptoms,and peri-operative X-ray examination are keys to diagnose foreign bodies in trachea.The surface anesthesia is a simple and effective way for the operation,however,intubation should be done in a timely manner for severe cases.