持续慢性呼吸症患儿应怀疑气道异物可能  

Children with persistent chronic respiratory symptoms may be retained airway foreign bodies

作　　者：陈丹[1] 李绍清[1] 刘宇琦[1] 陈莲华[1] 

机构地区：[1]复旦大学附属眼耳鼻喉科医院麻醉科,上海200031

出　　处：《临床肺科杂志》2011年第9期1363-1364,共2页Journal of Clinical Pulmonary Medicine

摘　　要：目的探讨气道异物延误诊断的因素和长时留存气道异物的主要表现。方法回顾性研究自2004年6月~2008年9月在我院行气道异物取出术的患儿,选取异物留存超过30 d患儿作为研究对象行统计分析。结果从2004年6月~2008年9月我院共有1263例气道异物取出术,其中异物留存超过30 d的为107例（8.47%）,农村儿童86例（80.37%）,临床表现主要是反复发热（69例,占64.49%）、慢性咳嗽（62例,占57.94%）和喘鸣（44例,占41.12%）等。结论来自农村气道异物患儿,常因为影像学不典型和基层医生缺乏气道异物意识而误诊,临床表现为慢性呼吸症状和影像学炎症征象。Objective To investigate the factors and the presents that the children with foreign bodies（FBs） aspiration were misdiagnosed or undiagnosed.Methods We retrospectively reviewed the records of all the children who underwent the removal of airway foreign bodies（FBs） using rigid bronchoscopy between June 2004 and September 2008,the patients whose time of FBs aspiration exceed 30 days were admitted into our study.To analyze the distribution of patients,the nature of FB,complications,presenting symptoms,radiological findings and undiagnosed causes.Results The children with FB undiagnosed mainly came from countryside,presented chronic respiratory symptoms,radiological inflammatory findings,and doctors lacked of perception to FB.Conclusions The undiagnosed factors have countryside,atypia clinical symptoms,misdiagnosis.

关 键 词：气道异物 误诊 并发症 

分 类 号：R768[医药卫生—耳鼻咽喉科]