论文部分内容阅读
目的探讨小儿气管、支气管异物的误诊原因。方法回顾性分析湖南省儿童医院2006-06-2010-05误诊的486例小儿气管、支气管异物的临床资料。结果 1 388例病例中,总误诊486例,首诊误诊中基层医疗单位(县及县以下)误诊340例,市级、省级医疗单位102例,本院44例。首诊误诊为支气管炎、肺炎396例,急性喉炎、急性喉气管支气管炎52例,支气管哮喘12例,重症肺炎8例,肺结核3例,肺不张性质待查15例。结论误诊原因主要为医师对此病的认识不足,临床症状欠典型及未结合病史、体查、X线检查综合分析。
Objective To investigate the causes of misdiagnosis of pediatric tracheal and bronchial foreign bodies. Methods The clinical data of 486 pediatric tracheal and bronchial foreign bodies misdiagnosed in Hunan Children’s Hospital from 2006-06-2010-05 were retrospectively analyzed. Results Among 388 cases, 486 cases were misdiagnosed, 340 cases were misdiagnosed as primary medical units (below the county level) in the first diagnosis and misdiagnosed, 102 cases were municipal and provincial medical units, and 44 cases were in our hospital. The first diagnosis was misdiagnosed as bronchitis and pneumonia in 396 cases, acute laryngitis, 52 cases of acute laryngotracheal bronchitis, 12 cases of bronchial asthma, 8 cases of severe pneumonia, 3 cases of pulmonary tuberculosis and 15 cases of pulmonary atelectasis. Conclusions The main causes of misdiagnosis are physicians’ lack of understanding of the disease, typical clinical symptoms and unhealthy history, physical examination and X-ray examination.