【摘要】 目的:分析小儿气管、支气管异物误诊为肺炎的原因,提高诊治水平,降低误诊率。方法:对67例误诊为肺部感染的气管、支气管异物患儿的临床资料进行回顾性分析;67例均在全身麻醉下行气管或支气管异物取出术。结果:63例(94%)均1次取出异物,4例(6%)经2次取出;无一例行气管切开及病例死亡。结论:提高对气管、支气管异物的认识及诊断水平是降低误诊率的关键,全身麻醉下硬管支气管镜检是取出气管、支气管异物的主要方法。更多还原

【Abstract】 Objective:To improve the effects of diagnosis and therapy in patients with tracheobranchial foreign body who were diagnosed as pneumonia and to summarize the experience.Method:Foreign bodies in the trachea and bronchi in one hundred and seventy-two children were removed in our hospital From 1995.2 to 2005.2, of them 67 cases were diagnosed as pneumonia.Result:Our experience showed that the foreign body in tracheobronchia had an increasing tendency in recent years, and it had a descendant tendency that it be diagnosed as pneumonia. The time of the patients suffered from foreign bodies was from 5 days to 8 months, and the children under 2 years accounted for 80.6%. The most common foreign body was peanuts, accounting for 70.4%. All the foreign bodies were removed by rigid bronchoscopy. The successful rate of removal at first time was 63 cases, accounting for 94%. The reason of failure at first time was anesthesia (2 cases). There was no case of death. No cases underwent tracheotomy.Conclusion:The foreign body in tracheobronchia can be easily diagnosed as pneumonia. We should reduce the rate of erroneous diagnosis. Rigid bronchoscopy for removing foreign bodies under general anesthesia is still the main measure at present.更多还原