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为探讨支气管异物的漏诊原因和总结纤维支气管镜( F B)对该病的诊治经验,作者对曾被误诊为其它疾病并经 F B检查确诊的12例支气管异物患者的诊治经验进行了总结分析。结果发现,该12例患者均因无明确的异物吸入史,胸片上未能见及异物,仅见及肺不张,肺门阴影增大及阻塞性肺炎,以及临床表现为支气管肺感染或喘息等,而被误诊为肺癌、肺炎、哮喘和肺结核。经 F B检查后均获确诊,其中11例经 F B成功地钳出异物而治愈。提示 F B对被漏诊的支气管异物患者具有重要的诊治价值。
To investigate the causes of bronchial foreign body misdiagnosis and summarize the experience of fibrobronchoscopy (F B) diagnosis and treatment of the disease, the author summarizes the diagnosis and treatment of 12 cases of bronchial foreign body who have been misdiagnosed as other diseases and confirmed by F B examination . The results showed that the 12 patients were due to no clear history of foreign body aspiration, chest X-ray and foreign body was not seen, only seen atelectasis, hilar shadow and obstructive pneumonia, and clinical manifestations of bronchial pneumonia or wheezing , Which were misdiagnosed as lung cancer, pneumonia, asthma and tuberculosis. After F B examination were confirmed by the diagnosis, of which 11 cases were successfully clinched by F B foreign body and cured. It is indicated that F B has important diagnostic value for patients with bronchial foreign bodies missed.