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喉、气管和支气管异物是引起小儿急性上呼吸道梗阻的主要原因之一,误诊误治则会导致严重后果甚至死亡。笔者曾收治一例较少见的支气管塑料薄膜异物误诊为急性喉炎患儿,现报道如下:1、病例介绍 患儿,男性,4岁。主因玩耍时突然呼吸困难,犬咳,面色发紫,症状进行性加重且呈阵发性发作。急诊考虑急性喉炎。随给于大剂量激素,抗生素静脉滴注,同时解痉、吸氧、镇静等综合治疗。病情曾一度缓解,但仍阵发性频繁性发作。测体温36.8℃,呼吸25次/分,
Throat, trachea and bronchial foreign body is caused by acute upper airway obstruction in children is one of the main reasons misdiagnosis and mistreatment will lead to serious consequences and even death. The author has received a case of rare bronchial plastic foreign body misdiagnosed as acute laryngitis in children, are reported as follows: 1, the case description of children, men, 4 years old. The main cause of sudden breathlessness while playing, canine cough, looking purple, symptoms progressive and paroxysmal episodes. Emergency treatment of acute laryngitis. With large doses of hormones, antibiotics intravenous infusion, while antispasmodic, oxygen, sedation and other comprehensive treatment. The condition has been alleviated, but still episodes of frequent episodes. Measured body temperature 36.8 ℃, breathing 25 beats / min,