山东大学耳鼻喉眼学报

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2例特殊类型儿童气管异物的临床分析

魏伟   

  1. 山东大学齐鲁医院儿内科, 山东 济南 250012
  • 收稿日期:2006-07-18 修回日期:1900-01-01 出版日期:2006-08-24 发布日期:2006-08-24
  • 通讯作者: 魏伟

WEI Wei   

  • Received:2006-07-18 Revised:1900-01-01 Online:2006-08-24 Published:2006-08-24
  • Contact: WEI Wei

摘要: 目的:分析儿童气管异物误诊原因,减少临床误诊率。方法:对2例诊断为儿童气管异物的病例进行回顾性分析。结果:1例无明确异物吸入史的患者证实为鼻腔脓性痂皮致主气管异物,1例高度怀疑为气管异物患儿最终诊断为有机磷中毒。结论:对疑似气管异物的儿童患者,应仔细采集病史,注意特有体征,减少误诊。

关键词: 气管异物, 鼻腔痂皮, 有机磷中毒

Abstract: To analyze the causes of misdiagnosis of tracheal foreign bodies in children. Methods: Retrospective analysis was performed to two cases of unusual tracheal foreign bodies in children. Results: One patient who had no history of definite foreign body was confirmed that the main trachea was blocked by nasal purulent crust, and another highly suspected child with unquestionable tracheal foreign body was diagnosed as organophosphate poisoning. Conclusion: To avoid misdiagnosis of tracheal foreign body, clinicians should collect medical history carefully and pay more attention to the characteristic physical signs.

Key words: Nasal crust, Tracheal foreign body, Organophosphate poisoning

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