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Foreign body aspiration

最后审阅: 23 Sep 2025
最后更新: 10 Jan 2025

小结

定义

病史和体格检查

关键诊断因素

  • choking crisis
  • unilateral decreased breath sounds
  • unilateral wheezing
完整详情

其他诊断因素

  • intractable cough
  • fever
  • dyspnea
  • bilateral wheezing
完整详情

危险因素

  • decreased level of consciousness (Glasgow coma score <9)
  • age <4 years
  • age >70 years
  • bulbar dysfunction
  • male sex
  • cerebrovascular disease
  • dementia
完整详情

诊断性检查

首要检查

  • chest x-ray
完整详情

需考虑的检查

  • CT chest
  • bronchoscopy
完整详情

新兴检查

  • ultrasound lung

治疗流程

急症处理

conscious

unconscious

撰稿人

作者

Arjun B. Chatterjee, MD, MS, FACP, FCCP, FAASM
Arjun B. Chatterjee

Professor of Medicine

Section on Pulmonary, Critical Care, Allergy, and Immunologic Disease

Wake Forest University School of Medicine

Winston-Salem

NC

利益声明

ABC declares that he has no competing interests.

鸣谢

Dr Arjun B. Chatterjee would like to gratefully acknowledge Dr Septimiu Murgu and Dr Henri Colt, the previous contributors to this topic. SM and HC declare that they have no competing interests.

同行评议者

Amber Young, BSc, MB ChB, FRCA

Consultant Paediatric Anaesthetist

Department of Anaesthesia

Frenchay Hospital

Bristol

UK

利益声明

AY declares that she has no competing interests.

Momen M. Wahidi, MD, MBA

Professor of Medicine

Pulmonary and Critical Care

Feinberg School of Medicine

Northwestern University

Chicago

IL

利益声明

MMW declares that he has no competing interests.

Pyng Lee, MD

Senior Consultant

Department of Respiratory and Critical Care Medicine

Singapore General Hospital

Singapore

利益声明

PL declares that he has no competing interests.

​Prashant Mahajan, MD, MPH, MBA

Professor of Emergency Medicine and Pediatrics

Vice-Chair

Department of Emergency Medicine

Chief

Pediatric Emergency Medicine

C S Mott Children's Hospital and University of Michigan Medical School

Ann Arbor

MI

利益声明

PM declares that he has no competing interests.

Karima Lelak, MD

Clinical Assistant Professor

Department of Emergency Medicine and the Department of Pediatrics

C.S. Mott Children's Hospital

University of Michigan

Ann Arbor

MI

利益声明

KL declares that she has no competing interests.

Peer reviewer acknowledgements

BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.

Disclosures

Peer reviewer affiliations and disclosures pertain to the time of the review.

参考文献

Our in-house evidence and editorial teams collaborate with international expert contributors and peer reviewers to ensure that we provide access to the most clinically relevant information possible.

关键文献

Boyd M, Chatterjee A, Chiles C, et al. Tracheobronchial foreign body aspiration in adults. South Med J. 2009 Feb;102(2):171-4. 摘要

Faro A, Wood RE, Schechter MS, et al. Official American Thoracic Society technical standards: flexible airway endoscopy in children. Am J Respir Crit Care Med. 2015 May 1;191(9):1066-80.全文  摘要

Hewlett JC, Rickman OB, Lentz RJ, et al. Foreign body aspiration in adult airways: therapeutic approach. J Thorac Dis. 2017 Sep;9(9):3398-409.全文  摘要

Perkins GD, Graesner JT, Semeraro F, et al. European Resuscitation Council Guidelines 2021: executive summary. Resuscitation. 2021 Apr;161:1-60. 摘要

参考文献

A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
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