摘要
目的提高对中央气道病变的认识,减少症状性哮喘的误诊率。方法收集误诊为支气管哮喘的中央气道病变患者30例,回顾其临床表现、治疗经过和转归情况,分析误诊的原因。结果 30例均经支气管镜或手术后病理确诊,其中气道肿瘤10例(气道内腺样囊性癌5例,纤维瘤3例,原始性神经外胚瘤1例,脂肪瘤1例),气管结核7例,食管癌4例,气管异物4例,气管-支气管曲霉病2例,复发性多软骨炎1例,喉、气管支气管淀粉样变1例,窦组织增生伴巨大淋巴结病1例。结论中央气道病变易误诊为哮喘,可通过胸部CT及纤维支气管镜检查协助诊断。
Objective To improve the understanding of central airway lesions,reduce the misdiagnosis rate of symptomatic asthma.Methods Collected 30 cases of central airway lesion misdiagnosed as bronchial asthma,we retrospectively analyzed their clinical presentation,treatment and prognosis,and got the correlation analysis.Results 30 cases were confirmed by bronchoscopy or pathologically after surgery： 10 cases of airway tumors（5 cases of tracheal adenoid cystic carcinoma,3 cases of fibroma,1 case of primitive neuroectodermal tumor,1 case of lipoma）,7 cases of tracheal tuberculosis,4 cases of esophageal cancer,4 cases of tracheal foreign bodies,2 cases of trachea-bronchial aspergillosis,relapsing polychondritis,larynx,tracheobronchial amyloidosis,giant lymph node hyperplasia of sinus disease in 1 case respectively.Conclusion The main manifestation of clinical symptoms in central airway lesions including cough,wheezing,and difficulty breathing,are caused by the obstruction of airway and（or） the pressure produced from adjacent tissues and organs.They are often misdiagnosed as asthma.The chest CT and bronchoscopy can be used to assist diagnosis in the clinical work.
出处
《福建医科大学学报》
2011年第5期360-362,共3页
Journal of Fujian Medical University
关键词
气管疾病
气道阻塞
哮喘
支气管镜检查
误诊
tracheal diseases
airway obstruction
asthma
bronchoscopy
diagnostic errors
