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不典型儿童支气管哮喘误漏诊五例分析

穆丹 赵枫 冯孝强

临床误诊误治2018,Vol.31Issue(5):8-10,3.
临床误诊误治2018,Vol.31Issue(5):8-10,3.DOI:10.3969/j.issn.1002-3429.2018.05.003

不典型儿童支气管哮喘误漏诊五例分析

Misdiagnosis and Missed Diagnosis Analysis of 5 Children with Atypical Bronchial Asthma

穆丹 1赵枫 1冯孝强1

作者信息

  • 1. 716000陕西 延安,延安大学附属医院儿科二病区
  • 折叠

摘要

Abstract

Objective To investigate the causes of misdiagnosis and missed diagnosis of atypical bronchial asthma in children. Methods Of 28 children with bronchial asthma, clinical data of 5 cases of misdiagnosis or missed diagnosis were analyzed retrospectively. Results The rate of misdiagnosis in this group was 17.86%. Five cases presented to our department due to wheezing aggravated and anurine,asthma with dyspnea,intermittent wheez-ing,and recurrent cough with asthma. They were misdiagnosed initially as having glomerulonephritis in one patient, bronchial tumor with perforation in two and pediatric pneumonia in 2. The duration of misdiagnosis was 1 weeks to 2 months. All 5 cases were diagnosed as having pediatric bronchial asthma by chest X-ray. Among them, there was glomerulonephritis in one child,and bronchial tumors and perforation in two. All 5 cases were treated with flutica-sone nasal spray and inhalation aerosol of salbutamol sulphate,and discharged from the hospital when the disease was relieved. They were followed up for 3 months to one year, and all of them had favorable prognosis. Conclusion

关键词

哮喘/儿童/误诊/肺炎/漏诊

Key words

Asthma/Child/Misdiagnosis/Pneumonia/Missed diagnosis

分类

医药卫生

引用本文复制引用

穆丹,赵枫,冯孝强..不典型儿童支气管哮喘误漏诊五例分析[J].临床误诊误治,2018,31(5):8-10,3.

基金项目

陕西省科学技术研究发展计划项目(2013K14-02-27) (2013K14-02-27)

临床误诊误治

OACSTPCD

1002-3429

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