Huang Min,Zhao Sijun,Wu Xionghui,et al.Analysis of correlative factors of delayed diagnosis of respiratory foreign body in children.[J].Journal of Clinical Pediatric Surgery,,17():778-782.
Analysis of correlative factors of delayed diagnosis of respiratory foreign body in children.
Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R]
volume:
第17卷
Number:
2018 10
Page:
778-782
Column:
论著
Date of publication:
2018-10-25
- Keywords:
- Children; Respiratory foreign body; Delayed diagnosis
- Document code:
- A
- Abstract:
- ObjectiveTo explore the correlative factors of missed diagnosis and misdiagnosis of foreign body of respiratory tract in children.MethodsRetrospective analysis was performed for a total of 3492 children with foreign body of respiratory tract.They were divided into early and late diagnosis groups according to whether confirmation time was within 24 h or not.Then comparative analysis of relative factors was made with different regions,history of foreign body mistakenly choking,type and staying site of foreign body,frequency and conditions of seeking medical consultations.ResultsAmong them,22.23% urban and 17.54% rural children could be diagnosed early.And there were regional variations in the percentages of an early diagnosis (χ2=10.583,P<0.05).Although 61.02% metal foreign bodies could be definitely diagnosed early,only 17.60% botanic foreign bodies were pinpointed early.Variations existed in the percentages of different foreign bodies diagnosed early versus late (χ2=104.025,P<0.05); 40.82% throat foreign bodies were diagnosed early within 24h of choking.And the percentages of tracheal and bronchial foreign bodies diagnosed within 24h were 37.77% and 14.60%.Variations existed in the percentages of different sites of foreign bodies diagnosed early versus late (χ2=188.773,P<0.05).The percentage of onetime diagnosis was 89.12% in early diagnosis group and 31.13% in late diagnosis group.Those seeking 2-3 consultations accounted for 54.73% and over 3 consultations 14.13%.Variations existed in the percentages of different consultation sessions for foreign bodies diagnosed early versus late（χ2=741.310,P<0.05).All nononetime confirmed cases were treated repeatedly as respiratory infections and asthmatic diseases prior to a definite diagnosis.ConclusionA delayed diagnosis of foreign body in respiratory tract is probably correlated with different regions,foreign body types,lodging sites and consultation frequency.It is easily misdiagnosed as pneumonia,asthmatic disease,acute sore throat and even tuberculous infection.For those with a nonspecific history,nondefinite precipitating factors and chronic cough,fiberoptic or rigid bronchoscope is recommended for minimizing the underdiagnosis or misdiagnosis of foreign body in respiratory tract.
Last Update:
2018-10-24