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目的:探讨小儿严重Mendelson综合征误诊为呼吸道异物的原因及防治措施。方法:对3例严重Mendelson综合征误诊为呼吸道异物的临床资料进行回顾性分析总结。结果:患儿吸入异物的病史不明确,未准确鉴别Mendelson综合征与呼吸道异物症状和体征及影像学资料的异同,易误诊为呼吸道异物。结论:小儿严重的Mendelson综合征及时正确的诊断和及早的对症、支持治疗可改善预后,使患儿转危为安。
Objective: To investigate the causes and preventive measures of misdiagnosis of respiratory tract foreign body in children with severe Mendelson syndrome. Methods: The clinical data of 3 cases with severe Mendelson syndrome misdiagnosed as respiratory foreign bodies were retrospectively analyzed. Results: The history of inhaled foreign body in children was not clear. The similarities and differences between Mendelson’s syndrome and respiratory symptoms and signs and imaging data were not accurately identified, which were easily misdiagnosed as foreign body of respiratory tract. Conclusion: The serious Mendelson syndrome in children timely and correct diagnosis and early symptomatic, supportive care can improve the prognosis, so that children turn critically ill.