【摘要】 为了避免呼吸道异物的误诊,我们提出:对无明确异物吸入史者,若X线检查有纵隔摆动、肺气肿、肺不张或肺炎等情况时,应考虑到有呼吸道异物的可能性,对消炎治疗1个月不愈的肺炎和气管炎者要做气管镜检查;有异物吸入史、吞咽疼和声哑者,在食道钡餐检查正常时,可能有喉异物,应做喉直达镜检查;凡怀疑气管异物,做气管镜检查时如支气管内有肉芽组织时,应在肉芽下方气管内寻找异物。更多还原

【Abstract】 In order to avoid misdiagnosis of foreign body in the respiratory tract, we suggest that: if X-ray examination reveals that the mediastinum is shifted to one side or if any sign of pulmonary emphysema, atelectasis, pneumonitis or bronchitis is detected, foreign body of the respiratory tract should be suspected even though there isn’t a definite history. If pneumonitis or bronchitis could not be cured within a month by antibiotic therapy, bronchoscopy should be performed. In patients with definite history and symptoms of dysphagia or hoarseness, even if the esophagogram is normal, foreign body of the larynx should be considered and direct laryngoscopy must be performed. If granulation tissue is found somewhere in the bronchus during bronchoscopy, foreign body is usually found just below the granulation tissue.更多还原