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小儿支气管异物因其临床表现的多样性和多变性,易误诊误治;又因其自然咳出率低,晚期并发症严重,故误诊误治预后不良。本文综合新乡医学院一附院耳鼻喉科及江西景德镇第一医院儿科入院前误诊为肺部炎性疾患的26例患者(新乡医学院16例,景德镇第一医院10例)经支气管镜检确诊的支气管植物性异物进行分析,以引起大家注意。临床资料一、一般资料:26例中男21例,女5例,年龄8个月—5岁。均为误吸植物性异物。二、吸入方式及吸入后就诊时间:13例为进食时哭、笑而误吸,2例为进食时摔倒后误吸,11例不明原因(异物吸入史不能记忆)。吸入后就诊时间在10~42天之间。
Pediatric bronchial foreign body due to the diversity of its clinical manifestations and variability, easy misdiagnosis and mistreatment; because of its low rate of natural cough, advanced serious complications, so the misdiagnosis of poor prognosis. In this paper, a total of 26 patients (16 in Xinxiang Medical College and 10 in Jingdezhen First Hospital) who were misdiagnosed as pulmonary inflammatory diseases before admission to Pediatric Department of First Affiliated Hospital of Xinxiang Medical College and the First Hospital of Jingdezhen were diagnosed by bronchoscopy Bronchial plant foreign body analysis to draw everyone’s attention. Clinical data First, the general information: 26 cases of male 21 cases, 5 females, aged 8 months -5 years old. Are aspiration plant foreign objects. Second, the way of inhalation and post-inhalation visits: 13 cases of eating when crying, laughing and aspiration, 2 cases of fall asleep when eating aspiration, 11 cases of unknown reason (foreign body can not remember the history of memory). Inhalation treatment time in 10 to 42 days.