摘要
目的分析小儿非金属性支气管异物的临床和影像学资料,提高对该病的诊断水平。方法回顾性分析40例经纤维支气管镜确诊的儿非金属性支气管异物的临床和影像学资料,40例均摄X线片和胸部透视,20例行多层螺旋CT检查。结果异物位于右侧26例,位于左侧14例;植物性异物38例,占95.0%;3岁以下小儿34例,占85.0%;X线片诊断异物36例,诊断准确率90.0%,其中阻塞性肺气肿28例,阻塞性肺炎19例,阻塞性肺不张9例,透视下纵膈摆动32例;CT检查诊断异物19例,诊断准确性95.0%,直接发现异物17例,2例通过间接征象和异物吸入史而诊断。结论小儿非金属性支气管异物首选X线片和透视,积极审慎运用多层螺旋CT检查;对X线检查怀疑支气管异物的患儿应尽早行纤维支气管镜检查,以便确诊及进一步治疗。
By analyzing the non-metallic bronchial foreign bodies in children clinical and imaging data, in order to improve diagnosis of the disease. Methods A retrospective analysis of 40 cases diagnosed by fiberoptic bronchoscopy bronchial foreign children nonmetallic clinical and imaging data, both of 40 patients were taken X-ray and mammography, 20 patients were undergoing multi-slice spiral CT. Resalts 26 cases of foreign body were in the right bronchus, 14 cases in the left; vegetable foreign body of 38 cases, accounting for 95.0%; 34 cases of children were under 3 years of age, accounting for 85.0%; 36 cases of foreign bodies were diagnosed by X-ray, with the accuracy of 90.0%; 28 cases of emphysema, 19 cases of obstructive pneumonia, obstructive atelectasis in 9 cases, 32 cases were mediastinum swing under fluoroscopy. 19 cases of foreign bodies were diagnosed by CT with the accuracy of 95.0%. Foreign body was found directly in 17 cases, 2 cases were diagnosed by history of foreign body suction and indirect signs. Conclusion Children with non-metallic foreign body bronchial preferred X-ray and fluoroscopy, positive and prudent use of multi-slice spiral CT. X-ray examination of the bronchial foreign body should be suspected in children as early as possible bronchoscopy, so that to make a definite diagnosis and further treatment.
出处
《罕少疾病杂志》
2015年第6期32-34,共3页
Journal of Rare and Uncommon Diseases
