[Diagnosis and treatment of serious pediatric airway obstruction].
OBJECTIVE
To investigate the diagnosis and treatment of serious pediatric airway obstruction.


METHODS
Seventy three pediatric cases with serious airway obstruction, admitted to Shantou hospital from 1995 to 2005, were analyzed retrospectively.


RESULTS
Among the 73 cases, 28 cases (38.4%) with inflammatory disease and 33 cases (45.2%) with foreign body. In addition, 8 cases of laryngeal papilloma, 3 cases of laryngotracheobronchial spasm and 1 case of pharyngeal dysembryoma were also included in this study. The patients who had endotracheal intubation or tracheotomy were 39 cases (53.4%) and 27 cases (36.9%) respectively. Ten cases received non-surgery treatment. Seventy two cases diagnosis was confirmed and the related serious airway obstruction condition got stable within 12 hours. While serious complications occurred in 23 cases (31.5%) and operative complications occurred in 3 cases (4.1%). Four cases ( 5.5%) died and 68 cases (93.2%) were cured. One case refused to be treated.


CONCLUSIONS
The condition of serious pediatric airway obstruction patients is usually critical, the related causes could be complicated, quick diagnosis and timely removal of the obstruction factors are imperative.
Wang
Shuang-le
SL
Department of Otorhinolaryngology Head and Neck Surgery, Shantou City Central Hospital, China. shuangle888@sohu.com
Yang
Chu
C
Li
Chuang-wei
CW
Lin
Xin
X
Yang
Dong-tao
DT
Chen
En-he
EH
D000293:Adolescent; D000402:Airway Obstruction / Q000175:diagnosis* / Q000628:therapy*; D002648:Child; D002675:Child, Preschool; D016638:Critical Illness; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D012189:Retrospective Studies; D016896:Treatment Outcome