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| 小儿气管支气管异物诊断指标的量化评分及其对治疗的意义 | |
| 引用本文： | 刘冰,张杰,刘世琳,刘卫一,陈卉,张亚梅. 小儿气管支气管异物诊断指标的量化评分及其对治疗的意义[J]. 中国耳鼻咽喉头颈外科, 2009, 16(5): 277-279 |
| 作者姓名： | 刘冰 张杰 刘世琳 刘卫一 陈卉 张亚梅 |
| 作者单位： | 首都医科大学附属北京儿童医院耳鼻咽喉科,首都医科大学耳鼻喉科学院,耳鼻咽喉头颈科学教育部重点实验室,首都医科大学,北京,100045;首都医科大学生物医学工程学院,北京,100054 |
| 基金项目： | 首都医学发展科研基金(2005-3024,2005-1032);;北京教育科技发展面上项目(KM200610025018)联合资助 |
| 摘 要： | 目的探讨提高小儿呼吸道异物术前诊断率的方法及其对治疗的意义。方法选取357例怀疑呼吸道异物的患儿,将诊断中常用的异物呛咳史、肺部体征、胸透3项指标,利用logistic回归分析及ROC曲线,确定呛咳史为核心指标,评分分值：有呛咳史者3分,体征阳性者2分,胸透阳性者3分,诊断的界限值4分。结果根据此评分,将357例患儿3个指标重新量化分析,3项指标之和大于界限值4分316例,气管异物阳性292例,阳性预测值为92.4%;小于4分41例,气管异物阴性34例,阴性预测值为82.9%。将此评分用于基层医院验证,提高了气管异物的诊断符合率。结论异物呛咳史对诊断气管异物作用最大。确定诊断指标评分,可以采取相应治疗方法,减少有创性检查。 |
| 关 键 词： | 异物 气管 支气管 儿童 诊断 参考标准 研究设计 |
The value of a scoring system in the diagnosis and management of tracheobronchial foreign bodies in children |
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| Affiliation: | LIU Bing, ZHANG Jie, LIU Shilin, LIU Weiyi, CHEN Hui, ZHANG Yamei(1. Department of Otolaryngology, Beijing Children＇s Hospital, Capital Medical University, Institute of Otolaryngology, Capital Medical University, Key Laboratory of Otolaryngology Head and Neck Surgery (Capital Medical University) , Ministery of Education, Beijing, 100045, China; 2. Institute of Biomedical Engineering, Capital Medical University, Beijing, 100054, China) |
| Abstract: | OBJECTIVE To improve the preoperative diagnositic rate of tracheobronchial foreign bodies aspiration(TFB) in children and determine the effect on treatment.METHODS The 357 children who were suspected of having TFB were evaluated.A history of foreign body aspiration, physical examination findings and radiographic findings were the three diagnostic criteria.Logistic Regression Analysis and ROC curve were used to analyze the results.The history of foreign body aspiration was considered as the diagnositic stand... |
| Keywords: | Foreign Bodies Trachea Bronchi Child Diagnosis Reference Standards Research Design |
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