摘要
目的:探讨气管支气管异物患儿延误诊断的原因,以减少误诊率。方法:对初诊为"气管支气管炎"而最后确诊为气管支气管异物36例患儿的临床资料进行回顾性分析。结果:无异物吸入史患儿31例,呼吸音改变患儿32例,单侧或单个肺叶呼吸音减弱患儿31例,肺三维CT可见肺叶气肿和气管堵塞。结论:无异物吸入史是气管支气管异物延误诊断的主要原因。
Objective:To explore the causes of delayed diagnosis of tracheobronchial foreign bodies in children, in order to reduce the rate of misdiagnosis. Methods:Clinical data of 36 cases with first diagnosed "bronchitis"; and finally diagnosed as tracheobronchial foreign bodies were analyzed retrospectively. Results:No foreign-body aspiration history was found in 31 cases, respiratory sound changes in 32 cases, decreased breath sounds of unilateral or a single lobe in 31 cases. Lobar emphysema and airway blockage were seen in pulmonary Three-dimensional CT. Conclusions:No history of foreign-body aspiration is the main reason for the delayed diagnosis of the tracheobronchial foreign bodies.
出处
《中国民康医学》
2014年第19期30-31,共2页
Medical Journal of Chinese People’s Health
关键词
气管支气管异物
三维CT
支气管镜
Tracheobronchial foreign body
Three-dimensional CT
Bronchoscopy