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目的探讨小儿气管、支气管异物误诊的原因。方法回顾性分析我院10年来收治的12例小儿气管、气管异物的临床资料。结果 12例小儿气管、支气管异物中4例误诊,2例误诊为肺炎,2例误诊为支气管炎。结论气管、支气管异物患儿因年龄小,或否认有异物吸入史,或经治医生对不典型的、复杂多样的临床表现认识不够,未及时使用支气管镜进行诊治,是误诊的主要原因。因此对病史中有剧烈或顽固性咳嗽,并有肺炎、肺不张、发热等表现,而经积极治疗无效者,应行支气管镜或纤支镜检查,以早期明确诊断,及时处治。
Objective To investigate the causes of misdiagnosis of pediatric tracheal and bronchial foreign bodies. Methods The clinical data of 12 children with tracheal and tracheal foreign bodies admitted to our hospital during 10 years were retrospectively analyzed. Results 12 cases of pediatric tracheal and bronchial foreign body misdiagnosis in 4 cases, 2 cases misdiagnosed as pneumonia, 2 cases misdiagnosed as bronchitis. Conclusions Children with tracheal and bronchial foreign bodies are the main cause of misdiagnosis because they are young or have no history of foreign body aspiration, or they are not well aware of the atypical and complex clinical manifestation. Therefore, the history of severe or intractable cough, and pneumonia, atelectasis, fever and other performance, and after active treatment ineffective, should be bronchoscopy or bronchoscopy, early diagnosis, timely treatment.