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目的:分析小儿气管、支气管异物误诊为肺炎的原因,提高诊治水平,降低误诊率。方法:对67例误诊为肺部感染的气管、支气管异物患儿的临床资料进行回顾性分析;67例均在全身麻醉下行气管或支气管异物取出术。结果:63例(94%)均1次取出异物,4例(6%)经2次取出;无一例行气管切开及病例死亡。结论:提高对气管、支气管异物的认识及诊断水平是降低误诊率的关键,全身麻醉下硬管支气管镜检是取出气管、支气管异物的主要方法。
Objective: To analyze the causes of misdiagnosis of pediatric trachea and bronchial foreign bodies as pneumonia, improve the diagnosis and treatment, and reduce the misdiagnosis rate. Methods: The clinical data of 67 children with tracheal and bronchial foreign body misdiagnosed as pulmonary infection were retrospectively analyzed. All 67 patients underwent tracheal or bronchial foreign body removal under general anesthesia. Results: All the 63 cases (94%) took foreign body one time and 4 cases (6%) were removed twice. No tracheotomy and case died. Conclusion: To improve the understanding of tracheal and bronchial foreign bodies and the level of diagnosis is the key to reduce the misdiagnosis rate. The main method of removing bronchus and bronchus is bronchoscopy under general anesthesia.