儿童气管、支气管异物各临床特征的诊断价值研究

doi:10.3969/j.issn.1671-7171.2017.06.020

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Abstract 【Objective】To investigate the clinical characteristics of tracheobronchial foreign bodies in children for their diagnostic value in sensitivity and specificity.【Methods】From September 2012 to September 2016, a total of 152 pediatric patients with suspected tracheobronchial foreign bodies were included in this study. The history of foreign body aspiration, clinical manifestation, chest X-ray examination and CT scanningwere analyzed.【Results】Tracheobronchial foreign body diagnosis was confirmed by bronchoscopy. Judged by this standard, patients with positive foreign body aspiration history,inspiratory dyspnea, diminished breath sounds on one side of the chest or asymmetric breath sounds onboth sides of the chest, X-ray and CT scan findings in the chest had a higher rate of foreign bodies present; the difference was statistically significant (P<0.05). However, differences in rates of irritating cough, fever, and lung rale were not statistically significant (P>0.05) . History of foreign body aspiration, inspiratory dyspnea, diminished breath sounds on one side of the chest or asymmetric breath sounds on two sides of the chest, chest X-ray findings, and CT scan showed a high sensitivity and positive predictive value that coincided with tracheobronchial foreign body diagnosis, but the specificity was not high. Foreign body aspiration history and chest CT scan had a high consistency with rigid bronchoscopy.【Conclusion】Inspiratory dyspnea, diminished breath sounds on one side or asymmetric breath sounds on two sides of the chest, and chest X-ray findings have some reference value for tracheobronchial foreign body diagnosis. The history of foreign body aspiration and chest CT scan can provide higher diagnostic value with more accuracy.

Key words： Trachea Bronchi Foreign Bodies/DI Child

Received: 13 March 2017

PACS:

R726.494

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	YANG Zhi-fang
	ZHU Sheng-hua

Cite this article:

YANG Zhi-fang,ZHU Sheng-hua. Analysis of Sensitivity and Specificity of Clinical Features of Tracheobronchial Foreign Body Diagnosis in Children[J]. JOURNAL OF CLINICAL RESEARCH, 2017, 34(6): 1105-1108.

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http://www.jcr.net.cn/EN/10.3969/j.issn.1671-7171.2017.06.020 OR http://www.jcr.net.cn/EN/Y2017/V34/I6/1105

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(本文编辑:师晓阳) [收稿日期] 2016-12-05