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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 ,有利于减少误诊和治疗延误
Objective To discuss the causes of misdiagnosis and mistreatment of tracheal and bronchial foreign bodies. Methods A retrospective review of 13 cases of tracheal and bronchial foreign bodies hospitalized in our hospital in 5 years was performed. Statistical analysis was made on the history, clinical manifestations, location of foreign bodies, time of first diagnosis and time of diagnosis. The results of 89 cases of first diagnosis misdiagnosis and mistreatment, accounting for 64 0 3%, the main reason is: ignoring the history of foreign body or foreign body is not clear, clinical manifestations of atypical or complicated and diverse clinical manifestations of inadequate understanding of the importance of bronchoscopy in the diagnosis and treatment of the disease Sexual and effectiveness are not enough. Conclusion The importance of foreign body history and the role of bronchoscopy in diagnosis and treatment of tracheal and bronchial foreign bodies improve the complex and diverse clinical manifestations of the level of understanding is conducive to reduce misdiagnosis and treatment delays