摘要
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 explore the causes of missed diagnosis of foreign body aspiration and summarize the experiences on the diagnostic and therapeutic use of flexible bronchoscopy (FB) in these patients. Twelve cases of foreign body aspiration misdiagnosed as other respiratory diseases, confirmed by FB examination were analyzed. All of these patients had no histories of foreign body aspiration, and no foreign body shadows were found on their chest films. But there were atelectasis, hilar enlargement and obstructive pneumonia found on the films. Among the patients in this group, 7 cases were misdiagnosed as lung cancer, 2 cases of pneumonia and asthma each, and 1 case as tuberculosis. The diagnoses of all the 12 cases were confirmed by FB examinations. The foreign bodies of the 11 cases were successfully grasped and taken out through the FB. This suggests that FB should be of great diagnostic and therapeutic value in patients with foreign body aspiration misdiagnosed as other respiratory diseases.
出处
《华西医科大学学报》
CSCD
1999年第3期327-328,共2页
Journal of West China University of Medical Sciences
关键词
纤维支气管镜
诊断
治疗
支气管异物
Foreign body aspiration Bronchoscopy Flexible bronchoscopy Diagnosis Therapy
