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目的:研究分析基层医院小儿气管异物的诊断方法以及出现误诊的原因。方法:选取基层医院收治的小儿气管异物34例作为此次研究活动对象。回顾性分析患儿临床资料与临床表现,探讨诊断特点与出现误诊的原因。结果:小儿气管异物多出现在2岁左右的儿童,临床表现为喘息、咳嗽,无明确病史的有17例;误诊的有10例,误诊原因主要为病史不详、影像学误诊、体格检查不仔细。结论:基层医院在诊断小儿气管异物的时候,需要耐心、仔细询问病史与体格检查,唯有如此才能够减少误诊的发生。
Objective: To study and analyze the diagnosis of pediatric tracheal foreign bodies in primary hospitals and the causes of misdiagnosis. Methods: 34 cases of pediatric tracheal foreign body admitted in the primary hospital were selected as the research object. Retrospective analysis of children with clinical data and clinical manifestations to explore the diagnostic features and causes of misdiagnosis. Results: Pediatric tracheal foreign body mostly occurred in 2-year-old children, clinical manifestations of wheezing, cough, no clear history of 17 cases; misdiagnosis of 10 cases, misdiagnosis mainly due to unknown history, misdiagnosis of imaging, physical examination is not careful . Conclusion: Primary hospitals need to be patient when diagnosing pediatric tracheal foreign bodies. Carefully ask medical history and physical examination to reduce the risk of misdiagnosis.