目的提高急诊、儿科、基层医护人员对支气管异物的认识和诊断意识。方法对近3a来广西贺州市人民医院收治的50例气管、支气管异物的病例资料进行回顾性分析。结果 50例气管、支气管异物的病例中有17例被误诊,误诊率高达34%。误诊时间最长达50d。结论有无异物吸入史是诊断呼吸道异物的重要诊断依据,但是对患有反复发作或疗效不佳的局限性肺炎、气管炎、不明原因肺气肿的儿童,不必强调是否有异物史,均应行气管内窥镜检查。 Objective To improve the awareness of acute bronchial foreign bodies and diagnosis of primary and secondary medical staff in emergency department, pediatric department and primary care department. Methods The data of 50 cases of tracheobronchial and bronchial foreign bodies treated in Hezhou People’s Hospital of Guangxi Province in recent 3 years were retrospectively analyzed. Results Fifty cases of tracheal and bronchial foreign bodies were misdiagnosed, and the misdiagnosis rate was as high as 34%. Misdiagnosis time up to 50d. Conclusion There is no history of foreign body inhalation is an important diagnostic basis for the diagnosis of foreign bodies of the respiratory tract, but for patients with recurrent or poor efficacy of limited pneumonia, tracheitis, emphysema of unknown causes, do not have to emphasize the history of foreign body should be Tracheal endoscopy.