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目的探讨胸部X线检查在小儿气管支气管异物诊断中的作用。方法对我院2000年1月-2008年6月78例气管、支气管异物术前胸部X线检查结果进行回顾性分析。结果78例TFB患儿中有75例接受了胸片及透视检查,发现间接征象56例,阳性检出率74.7%;气管异物纵隔摆动发生率(16.7%)远低于支气管异物(97.1%),P<0.05。结论诊断气管支气管异物应结合病史及临床综合考虑,胸部透视+胸部正位片是主要的检查和诊断气管支气管异物的方法之一。
Objective To investigate the role of chest X-ray in the diagnosis of tracheobronchial foreign bodies in children. Methods 78 cases of tracheobronchial foreign body in our hospital from January 2000 to June 2008 were retrospectively analyzed. Results Of the 78 children with TFB, 75 cases were examined by X-ray and chest radiograph. 56 cases were found indirect signs, the positive rate was 74.7%. The incidence of mediastinum swing (16.7%) was much lower than that of bronchial foreign body (97.1%). , P <0.05. Conclusion Diagnosis of tracheobronchial foreign body should be combined with the history and clinical considerations, chest fluoroscopy + chest anteroposterior film is one of the main methods of examination and diagnosis of tracheobronchial foreign body.