纤维支气管镜诊治支气管异物24例临床分析  

Diagnosis and treatment of bronchus foreign body by fiberbronchoscope:an analysis of 24 cases

作　　者：李殿明[1] 李翠侠[1] 宫蓓蕾[1] 胡俊锋[1] 陈余清[1] 

机构地区：[1]蚌埠医学院第一附属医院呼吸病科,安徽蚌埠233004

出　　处：《蚌埠医学院学报》2012年第2期157-159,共3页Journal of Bengbu Medical College

摘　　要：目的:探讨纤维支气管镜(纤支镜)在支气管异物诊断及治疗中的作用。方法:对24例经纤支镜确诊和治疗的支气管异物患者的临床资料进行回顾性分析。结果:主要临床表现为咳嗽、咳黄痰、发热、咯血、喘息,体格检查有呼吸音减低、吸气相干啰音及湿啰音;院外误诊为肺癌4例,肺炎4例,肺结核2例,支气管哮喘1例,结核性胸膜炎1例;右侧异物17例,左侧7例;动物性异物14例,植物性异物6例;均经纤支镜取出。结论:支气管异物临床上容易误诊,纤支镜在支气管异物的诊断和治疗中具有重要的意义。Objective：To observe the value of the fiberoptic bronchoscope in diagnosis and treatment of the bronchus foreign body. Methods： Twenty-four cases of bronchus foreign bodies which were diagnosed and treated by the fiberoptic bronchoscope were reviewed and analyzed retrospectivedly. Results： The main clinical manifestations were cough, expectoration, fever, hemoptysis, dyspnea, decreased breath sound and rhonchi of inspiration phase. Twelve cases were misdiagnosed out of our hospital, among which, 4 were misdiagnosed as lung cancer,4 as pneumonia,2 as tuberculosis, 1 as bronchial asthma and 1 as tuberculosis pleurisy. The foreign body in 17 cases was located in the right side of the lung and 7 cases in the left side; 14 bronchus foreign bodies were of animality sort and 6 cases vegetality sort. All the foreign bodies were extirpated by the fiberoptic bronchoscope. Conclusions：The bronchus foreign body is easy to be misdiagnosed. The fiberoptic bronchoscope is of great value in diagnosis and treatment of the bronchus foreign body.

关 键 词：异物 支气管疾病 支气管镜检查 误诊 

分 类 号：R768.13[医药卫生—耳鼻咽喉科]