Analysis of misdiagnosis causes of 30 children with trachea or bronchial foreign bodies

Objective To inquire into the issues that exist in the clinical diagnosis about foreign bodies in children trachea or bronchus.Methods To retrospective analysis of the clinical data about 30 children suffered from foreign objects in their tracheas or bronchi who were misdiagnosed and analysis of the misdiagnosis causes as well.Results Among these thirty cases,eleven children were misdiagnosed as bronchopneumonia,eight cases as bronchitis,four cases as the synthetical symptom in middle lobe of right lung,three cases with bronchial asthma,two cases with lobar pneumonia in lower lobe of right lung,and two children were misdiagnosed as bronchiectasis as well.These patients misdiagnosed were all successfully take out foreign bodies through the direct laryngoscope or bronchoscope with basal anesthesia.Conclusion The children suffered from repeated bronchitis,bronchopneumonia,bronchial asthma,bronchiectasis,pulmonary emphysema,atelectasis,even pulmonary abscess should be suspected as foreign bodies in their bronchi or tracheas if they couldn't get good therapeutic effect though they didn't have the definite history of inhaling foreign objects.