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目的探讨气道异物延误诊断的因素和长时留存气道异物的主要表现。方法回顾性研究自2004年6月~2008年9月在我院行气道异物取出术的患儿,选取异物留存超过30 d患儿作为研究对象行统计分析。结果从2004年6月~2008年9月我院共有1263例气道异物取出术,其中异物留存超过30 d的为107例(8.47%),农村儿童86例(80.37%),临床表现主要是反复发热(69例,占64.49%)、慢性咳嗽(62例,占57.94%)和喘鸣(44例,占41.12%)等。结论来自农村气道异物患儿,常因为影像学不典型和基层医生缺乏气道异物意识而误诊,临床表现为慢性呼吸症状和影像学炎症征象。
Objective To investigate the factors of delayed diagnosis of airway foreign body and the main manifestations of airway foreign body retained for a long time. Methods A retrospective study of children with airway foreign body removal in our hospital from June 2004 to September 2008 was selected for statistical analysis. Results From June 2004 to September 2008, a total of 1263 airway foreign bodies were removed in our hospital, of which 107 (8.47%) were foreign bodies retained for more than 30 days and 86 (80.37%) were rural children. The main clinical manifestations were Repeated fever (69 cases, accounting for 64.49%), chronic cough (62 cases, accounting for 57.94%) and wheezing (44 cases, accounting for 41.12%). Conclusions Children with foreign bodies in rural airways are often misdiagnosed as having atypical radiological findings and lack of airway foreign body awareness among primary doctors. The clinical manifestations include chronic respiratory symptoms and signs of inflammation in imaging.