Analysis of Misdiagnosis of Foreign Bodies in Trachea and Bronchi of Children

Objective To detect the reason of misdiagnosis of foreign bodies in trachea and bronchi of children. Methods 38 cases with foreign bodies in child trachea and bronchi were analysed and the reason and prevention were studied. Results In 38 cases, male 25 cases, female 13 cases. 34 cases(89.5%) with three year old. were respectively misdiagnosised as: pneumonia 16 cases(42.1%); tracheo bronchitis,13 cases(34.2%); pulmonary emphysema, 5 cases(13.2%); pleurisy, 2 cases(5.3%); Lungabscess,1 cases(2.6%); foreign bodies in esophagnus,1 cases(2.6%). Time of misdiagnosis: 3d~1year. Most of foreign bodies was plant, 33 cases(86.8%). Misdiagnostic accerancy was 25.9%. Conclusion There are three major reasons of misdiagnosis of foreign bodies in treachea and bronchi of children: doctors with poor clinical experience, without the medical history of foreign bodies seriously; caring about the appearance of complications, not primary disease; doctors analysed the result of the X-ray without clinical appearance. We must enhance recognition for it in order to improve the early diagnosis and treatment.