小儿气管支气管异物误诊25例分析

本文通过对25例经纤维支气管镜确诊的小儿气管支气管异物的分析,归纳出临床本病误诊的几种原因:(1)忽略或不熟悉气管支气管异物的胸部X线征。(2)过于强调X线检查对气管支气管异物诊断的意义,由于X线检查无阳性发现而误诊。(3)未能准确获取异物吸入史。(4)经验不足,支气管镜检未发现异物而放弃支气管异物的诊断。(5)体查不认真,未作必要的临床检查。(6)异物吸入后,阻塞症状不明显。本文试图通过分析,提高临床医生对小儿气管支气管异物的认识。

Analysis on 25 Cases of Foreign Bodies Misdiagnosis in the Trachea and Bronchi in Children

The article analyses 25 cases of foreign bodies misdiagnosed by X -ray examinatin in children and corrected by bronchoscope's diagnosis. It Shans the reasons of misdiagnosis of the disease are:(l)Not familiar with X -ray sign of foreign bodies in the traches and bronehi; (2)Overemphasize X -ray examination of foreign body in the trachea and bronchi in diagnosis; (3)Not get the history of the inhalation of foreign body;(4)Not enough expierience; (5) No detailed examination; (6)Not obvious symptom of the treacha obstruction after the inhalation of foreign body. The article improves the foreign body diagnosis in the frachea and bronchi.