139例气管、支气管异物诊断分析

Analysis of the Causes for Misdiagnosis and Therapeutic Errors of Tracheobranchial Foreign Bodies

目的 讨论气管、支气管异物误诊误治的原因。方法 回顾总结我院 5年间住院的气管、支气管异物 13 9例 ,并对病史、临床表现、异物位置、首诊时间及确诊时间等资料进行统计分析。结果 89例首诊误诊误治 ,占 64 0 3 %,主要原因是 :忽视异物史或异物史不清楚、临床表现不典型或对复杂多样的临床表现认识不够、对气管镜诊治本病的重要性和有效性重视不够。结论 重视异物史和气管镜的诊治作用 ,提高对气管、支气管异物复杂多样的临床表现的认识水平 。

Objective To discuss the causes of misdiagnosis and therapeutic errors of tracheobronchial foreign bodies.Methods 139 cases of tracheobronchial foreign bodies hospitalized in our department during 5 years were reviewed. Retrospective analysis was performed, on statistics of case history, clinical manifestation, location of foreign bodies, the time of initial diagnosis and the time for definite diagnosis.Results 89 cases (64 03%) were misdiagnosed, and were given inappropriate treatments. The main causes include ignored or vague history of foreign body inhalation, the atypical or complex clinical manifestations, and underestimation of the importance of bronchoscopy.Conclusion We should pay more attention to history of foreign body ,bronchoscopy examination action in diagnosis and treatment and more aware of the various manifestations of tracheobronchial foreign bodies,these could contribute to decrease the misdiagnosis and therapeutic errors.