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Misdiagnosis of airway foreign body


Department of the trachea can be A sound of flapping. In the July 24 semi-direct laryngoscopy subglottic out a watermelon seed pieces. West, mistakenly trampled as asthma, bronchitis bud pseudo 4 female, 3 years old. Because of cough, shortness of breath three days in September 1995 12H into the pediatric hospital. Deny the history of foreign body aspiration, no family history of asthma Jie. Bringing the film were normal. Pediatric diagnosis of bronchial asthma. Health claims by anti-hormone therapy slightly improved, suspected to be done bronchial airway foreign body check, but it was the parents refused. On September 20 were discharged. 4 days of fever, cough with asthma admitted to hospital again, Bringing the film negative. Lung wet duo with wheezing. The anti-inflammatory line of Sept. 27 after bronchoscopy, in the right bronchus removed 1 / 4 too peanut grains. September 30 disk recover from illness was discharged after six months Chong visit, no bronchial asthma attack Jie. Discussion group of patients show car, gas, foreign bodies were the causes of misdiagnosis are the following: 1. History taking is not known. Detailed history taking in an important role in the diagnosis of foreign body. Xu Yin-Xiang, blame would not reveal. clinicians lack of knowledge on foreign gas was also one of the causes of misdiagnosis, such as paper down 3.2. the symptoms are not typical. foreign bodies into the respiratory tract. The main symptoms are shortness of breath, cough, but symptoms can be due to foreign bodies shape and size, residence time and location vary, such as foreign body airway beam completely block 3l3 + plug may not breathing difficulties, such as feed 1 and 2, rescue breathing down hard, two weeks after the formation of the granulation and pseudomembranous l Plug the trachea after the date of dyspnea 3. ignore the root of the problem when the treatment of foreign bodies in the trachea or bronchial retention time is longer,[link widoczny dla zalogowanych], foreign body airway fools film nan stimulated by swelling, especially the free fatty acid vegetable foreign body in ancient times,[link widoczny dla zalogowanych], with irritation, membrane can cause acute respiratory revolves diffuse inflammation and increased bronchial obstruction,[link widoczny dla zalogowanych], the formation of obstructive emphysema, atelectasis, leaving the more severe lung inflammation,[link widoczny dla zalogowanych], and even lung abscess, empyema, or of such ill bronchiectasis Without patience left to ask medical history, a careful analysis of the disease, careful examination will treat complications as a primary disease 4. over-reliance on x-ray diagnosis of x-ray diagnosis only by Gan airway foreign body is not enough, the storm is (1) due to more foreign small, are not blocked or incomplete bronchial obstruction perspective does not develop (2) to pay attention to inhale and exhale of the end of possible mediastinal swing (3) x-ray examination is not with clinical symptoms and physical disease (4) If a serious inflammation , chest X-ray signs of lung inflammation have been mistaken for a significant lung disease. In summary, a fixed location in the lung of the existence of persistent or recurrent pneumonia, atelectasis or emphysema limitation surface is not easy to cure by , should think of the possibility of tracheal foreign bodies.