论文部分内容阅读
我院近两年来将1例重症肌无力和1例肠原性青紫误诊为气管异物,为引起临床注意,兹报告如下: 例1 女,1.5岁。因晚饭吃鱼肉时咳嗽后出现气喘,哭不出声来我院就诊。体检:T38℃,P144次/分,R 40次/分。精神萎靡,呼吸急促,口唇无青紫,哭不出声,口角流涎,双上睑下垂。心律齐,各瓣膜区未闻及杂音。右下肺可闻及湿啰音。疑为气管异物。胸透(-),即收住院。在全麻下行直接喉镜和气管镜检查,未见异物,但患儿仍流涎不止,
In our hospital in recent two years, one case of myasthenia gravis and one case of enterocolitis were misdiagnosed as tracheal foreign bodies. To arouse clinical attention, we report the following: 1 Female, 1.5 years old. After eating fish because of supper cough after asthma, crying out loud to our hospital. Physical examination: T38 ℃, P144 times / min, R 40 times / min. Apathetic, shortness of breath, lips without bruising, crying, mouth drool, double ptosis. Qi heart, the valve area did not smell and noise. Lower right lung can smell wet rales. Suspected as tracheal foreign body. Chest throat (-), that is, admitted to hospital. Under general anesthesia direct laryngoscope and bronchoscopy, no foreign body, but children still drooling,