27例气道异物诱发小儿喘息临床探讨与研究  

Clinical Analysis of Airway Foreign Bodies Induced Gasp in Children： A Report of 27 Cases

作　　者：田林元 

机构地区：[1]山东省东平县第一人民医院儿科,山东东平271506

出　　处：《中医临床研究》2009年第22期18-19,21,共3页Clinical Journal Of Chinese Medicine

摘　　要：目的：探讨气道异物诱发小儿喘息的不典型临床表现，避免误诊误治。方法：收集2000年～2009年间以急性气道异物吸入，支气管哮喘或喘息性支气管炎收住我院，最后确诊为喘息型气道异物或合并气道异物27例，综合分析其临床表现和纤维支气管镜检查结果。结果：气道异物诱发小儿喘息易被误诊为哮喘或喘息性支气管炎，假阳性史常是误诊的重要因素。异物取出是唯一有效的治疗方法。结论：临床上反复咳嗽、喘息，抗炎治疗效果不佳的患儿，虽然否认异物吸入史，也要高度警惕气道异物的可能。Objective： To explore the atypical clinical features of air（ray foreign bodies induced gasp in children to avoid misdiagnosis. Methods： 27 cases with airway foreign bodies induced gasp but at first were admitted to hospital for acute tracheobronchial foreign bodies, bronchial asthma or asthmatic bronchitis from 2000-2009 were selected, and the clinical features and fiberoptic bronchoscopy were analyzed. Results： Airway foreign bodies induced gasp in children can be easily misdiagnosed as asthma or asthmatic bronchitis,the misdiagnosis was always caused by false positive history, Only removal of foreign bodies was effective. Conclusions： Airway foreign bodies should be considered ira child with cough and gasp did not receive good therapeutic efficacy after anti-inflammatory treatment.

关 键 词：喘息性支气管炎 不典型临床表现 气道异物吸入 小儿 诱发 纤维支气管镜检查结果 支气管哮喘 误诊误治 

分 类 号：R725.622.1[医药卫生—儿科] R743.34[医药卫生—临床医学]