Pediatric misdiagnosis of 37 cases of tracheal foreign body.doc

 PAGE \* MERGEFORMAT 6 Pediatric misdiagnosis of 37 cases of tracheal foreign body Of: Lee Yong-Wen Liang Yan Liu Surong are [Keywords:] Pediatric foreign body in trachea Our department were treated from 1996 to 2006 133 cases of tracheal foreign bodies in children, including those who misdiagnosed more than 1 day, 37 cases are analyzed as follows. 1 Clinical data 1.1 General Information The group of 37 patients, 25 males and 12 females, aged from 6 months to 7 years old, “5 years old in 32 cases, 5 to 7 years in 5 cases, an average of 2.7 years, the shortest day 1 misdiagnosed , up to 2 months. an average of 20 days, of which 16 cases were misdiagnosed as bronchitis, bronchial pneumonia and 14 cases, 6 cases of asthma, bronchitis, viral encephalitis, 1 case. 1.2 The clinical and laboratory examination 37 cases of children with febrile convulsions in 1 patient, and the remaining 36 cases in children are cough, sputum, fever, shortness of breath and other treatment. Treatment not provided when the history of foreign body aspiration, cough, mostly children paroxysmal or intermittent, 6 patients with asthma, 4 patients had cyanosis and difficulty breathing, chest auscultation can be heard and dry (moist rales, decreased breath sounds in right lung of which 6 cases, 2 cases of decreased breath sounds in left lung. Experiment Room check: WBCgt; 10 × 109 / L 20 例, lt;10 × 109 / L 17 例. X-ray examination: 20 cases of lung shadows, with atelectasis in 20 cases, 27 cases of increased lung markings. X-ray is not abnormal in 10 cases. 1.3 misdiagnosis of 16 cases misdiagnosed as bronchitis, bronchial pneumonia and 14 cases, 6 cases of asthma, bronchitis, viral encephalitis, 1 case, and admitted giving anti-inflammatory treatment, the symptomatic treatment had no obvious effect. Including 15 cases questioning history, found history of suspected foreign body aspiration, 5 patients with chest swing phenomenon found in the mediastinum, the diagnosis of tr