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本文报告10例誤診的小儿呼吸道异物病例,着重分析了誤診的原因,指出其診断的注意点。呼吸道异物多見于儿童,本文10例中9例患儿的年龄在5岁以下。进入呼吸道的异物为西瓜子(5例)、魚刺和花生米(各2例)、莲子(1例)。发生异物吸入至就診时間最短者3天,最长者50余天。主要症状为陣发性咳嗽、喘鳴及呼吸困难。曾經胸透的8例中,除3例有肺气肿或肺炎所見外,均未見阳性异物。大多誤診为支气管炎、肺炎等。10例均經喉气管镜检查并取出异物,术后9例痊愈,1例死亡。
This paper reports 10 cases of misdiagnosed cases of respiratory tract foreign bodies in children, focusing on the analysis of the causes of misdiagnosis, pointed out that the diagnosis of attention. Respiratory foreign body more common in children, this article 10 cases, 9 cases of children under the age of 5 years. Foreign body into the respiratory tract as watermelon seeds (5 cases), fishbone and peanuts (2 cases each), lotus seeds (1 case). Foreign body inhalation occurred to the shortest treatment time of 3 days, the longest 50 days. The main symptoms are paroxysmal cough, wheezing and breathing difficulties. Thoracotomy in 8 cases, except for 3 cases of emphysema or pneumonia seen, no positive foreign body. Mostly misdiagnosed as bronchitis, pneumonia and so on. All of the 10 cases were diagnosed by laryngotracheal tube examination and foreign body was taken out. After the operation, 9 cases recovered and 1 case died.