临床误诊误治2016，Vol.29Issue(12)：10-12,3.DOI:10.3969/j.issn.1002-3429.2016.12.004
儿童塑型性支气管炎误诊临床分析
Clinical Analysis of Misdiagnosis for Children with Plastic Bronchitis
王业军 1黄咏梅2
作者信息
- 1. 266000 山东 青岛，青岛大学医学院附属青岛妇女儿童医院急诊科
- 2. 276826 山东日照，日照市人民医院耳鼻喉科
- 折叠
摘要
Abstract
Objective To investigate clinical features and misdiagnosed causes of children with plastic bronchitis ( PB) . Methods Clinical data of 8 children with PB, who had been misdiagnosed as having other diseases between January 2014 and January 2016, was retrospectively analyzed. Results All the patients visited doctors for fever and cough, and ini-tial diagnoses were all misdiagnosed, in whom 5 patients were misdiagnosed as having foreign body of bronchus and 3 patients as having pneumonia. Examination showed that there were 3 patients with normal white blood cells, 3 patients with elevated white blood cells and 2 patients with leukopenia;there were 4 patients with normal platelet, 3 patients with increased platelet and 1 patient with decreased platelet;there were 5 patients with normal hemoglobin and 3 patients with decreased hemoglobin. Pathogen examination showed 5 patients with positive mycoplasma pneumoniae antibody and 5 patients with bacterial infection. Chest X-ray and chest CT scan showed pneumonia signs. Bronchoscopy showed unilateral bronchial mucus obstruction, and PB was confirmed. All patients underwent removal of foreign body under fiber bronchoscope, and were discharged after cure with good prognoses. Conclusion Children with plastic bronchitis have no specificity of symptoms and imaging features, so it is easy to be misdiagnosed. Early bronchoscopy is the key to improve the diagnostic accurate rate and decrease misdiagnosis.关键词
支气管炎/儿童/误诊/异物/肺炎/支气管镜检查Key words
Bronchitis/Children/Misdiagnosis/Foreign bodies/Pneumonia/Bronchoscopy分类
医药卫生引用本文复制引用
王业军,黄咏梅..儿童塑型性支气管炎误诊临床分析[J].临床误诊误治,2016,29(12):10-12,3.
