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本文对我院1966～1979年间所遇到的曾被误诊为肺炎、肺不张或支气管哮喘等疾病,后证实为下呼吸道异物的12例患儿进行了分析。其误诊原因有:(1)无典型的异物吸入病史;(2)临床上呼吸道感染症状较突出;(3)X 线胸片阴性或显示肺炎、阻塞性肺不张和肺气肿,因而被误诊为肺部疾病。文中提出为避免误诊应注意详细询问病史,如 X 线胸片中发现肺部某一固定部位显示肺不张、肺气肿或复发性肺炎时,应结合症状洋细进行异物吸入病史的询问:有可疑者应作支气管镜检查。
In this paper, we analyzed 12 cases of children who had been misdiagnosed as pneumonia, atelectasis or bronchial asthma during our hospital from 1966 to 1979 and later confirmed as foreign body of lower respiratory tract. The reasons for misdiagnosis include: (1) no history of typical foreign body aspiration; (2) clinical symptoms of respiratory tract infection are more prominent; (3) X-ray is negative or shows pneumonia, obstructive atelectasis and emphysema, which is Misdiagnosed as lung disease. The paper proposes to avoid misdiagnosis should pay attention to detailed medical history, such as X-ray found in a fixed part of the lungs showed atelectasis, emphysema or recurrent pneumonia, the symptoms should be combined with the history of foreign body aspiration inquiries: Suspected persons should be bronchoscopy.