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学科主题: 临床医学
题名:
The clinical features of foreign body aspiration into the lower airway in geriatric patients
作者: Lin, Lianjun1; Lv, Liping2; Wang, Yuchuan1; Zha, Xiankui2; Tang, Fei2; Liu, Xinmin1
关键词: airway foreign-body aspiration ; flexible bronchoscopy ; geriatric patients
刊名: CLINICAL INTERVENTIONS IN AGING
发表日期: 2014
DOI: 10.2147/CIA.S70924
卷: 9, 页:1613-1618
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Geriatrics & Gerontology
研究领域[WOS]: Geriatrics & Gerontology
关键词[WOS]: BODIES ; CHILDREN ; ADULTS
英文摘要:

Purpose: To analyze the clinical features of foreign-body aspiration into the lower airway in geriatric patients.

Patients and methods: The clinical data of 17 geriatric patients with foreign-body aspiration were retrospectively analyzed and compared with 26 nongeriatric adult patients. The data were collected from Peking University First Hospital and Anhui Chest Hospital between January 2000 and June 2014.

Results: (1) In the geriatric group, the most common symptoms were cough and sputum (15 cases, 88%), dyspnea (six cases, 35%), and hemoptysis (four cases, 24%). Five patients (29%) in the geriatric group could supply the history of aspiration on their first visit to doctor, a smaller percentage than in the nongeriatric group (13 cases, 50%). Only three cases in the geriatric group were diagnosed definitely without delay. Another 14 cases were misdiagnosed as pneumonia or lung cancer, and the time of delayed diagnosis ranged from 1 month to 3 years. Complications due to delay in diagnosis included obstructive pneumonitis, atelectasis, lung abscess, and pleural effusion. (2) Chest computed tomography demonstrated the foreign body in three cases (21%) in the geriatric group, which was lower than the positive proportion of detection in the nongeriatric group (nine cases, 35%). The most common type of foreign body in the geriatric group was food, such as bone fragments (seven cases, 41%) and plants (seven cases, 41%), and the foreign body was most often lodged in the right bronchus tree (eleven cases, 65%), especially the right lower bronchus (seven cases, 41%). Flexible bronchoscopy removed the foreign body successfully in all patients.

Conclusion: The clinical features of foreign-body aspiration in geriatric patients are usually more obscure than in nongeriatric adults, which may lead to long delay in diagnosis. Flexible bronchoscopy is safe and useful for early diagnosis and effective management in geriatric patients. We suggest flexible bronchoscopy as the first-line approach to similar patients, especially those with aspiration history and unexplained pneumonia.

语种: 英语
所属项目编号: 81141001 ; 81270114
项目资助者: National Natural Science Foundation of China (NSFC)
WOS记录号: WOS:000342057200001
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/50436
Appears in Collections:北京大学第一临床医学院_期刊论文

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作者单位: 1.Peking Univ, Hosp 1, Geriatr Dept, Beijing 100871, Peoples R China
2.Anhui Chest Hosp, Pulm Intervent Dept, Hefei 230022, Anhui, Peoples R China

Recommended Citation:
Lin, Lianjun,Lv, Liping,Wang, Yuchuan,et al. The clinical features of foreign body aspiration into the lower airway in geriatric patients[J]. CLINICAL INTERVENTIONS IN AGING,2014,9:1613-1618.
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