本文报告6例小儿气管异物误诊情况,并对误诊的主要原因及教训做扼要讨论。 一、临床资料 6例患儿均为儿科住院患者,误诊时间7～40天,均为男性,年龄1岁～2岁,都居住在农村。主要临床表现:高热伴咳嗽1例,频繁咳嗽2例,咳嗽伴喘3例。 发病时间(哮喘时间):3天1例,7～10天2例,10～20天2例,40天1例。误诊病名:支气管肺炎1例,哮喘2例,支气管肺炎伴肺气肿1例,左大叶肺炎伴肺不张1例。异物性质:滴鼻液塑料小帽1枚,园形图钉1枚,葵花籽2枚,花生米2枚。 This article reports 6 cases of pediatric tracheal foreign body misdiagnosis, and misdiagnosis of the main reasons and lessons to do a brief discussion. First, the clinical data 6 patients were pediatric hospitalized patients, misdiagnosis time 7 to 40 days, are men, aged 1 to 2 years old, all living in rural areas. The main clinical manifestations: fever with cough in 1 case, frequent cough in 2 cases, cough with asthma in 3 cases. Incidence (asthma time): 1 in 3 days, 7 to 10 days in 2 cases, 10 to 20 days in 2 cases, 40 days in 1 case. Misdiagnosis name: 1 case of bronchial pneumonia, 2 cases of asthma, bronchial pneumonia with emphysema in 1 case, left lobar pneumonia with atelectasis in 1 case. Nature of foreign body: a drop of plastic cap, nasal drops 1, sunflower 2, 2 peanuts.