title: [The diagnostic and therapeutic value of flexible bronchoscopy in foreign-body aspiration misdiagnosed as other respiratory diseases].
abstract: To explore the causes of missed diagnosis of foreign-body aspiration and summarize the experiences on the diagnostic and therapeutic use of flexible bronchoscopy (FB) in these patients. Twelve cases of foreign-body aspiration misdiagnosed as other respiratory diseases, confirmed by FB examination were analyzed. All of these patients had no histories of foreign-body aspiration, and no foreign-body shadows were found on their chest films. But there were atelectasis, hilar enlargement and obstructive pneumonia found on the films. Among the patients in this group, 7 cases were misdiagnosed as lung cancer, 2 cases of pneumonia and asthma each, and 1 case as tuberculosis. The diagnoses of all the 12 cases were confirmed by FB examinations. The foreign-bodies of the 11 cases were successfully grasped and taken out through the FB. This suggests that FB should be of great diagnostic and therapeutic value in patients with foreign-body aspiration misdiagnosed as other respiratory diseases.
authors.affiliation: Department of Internal Medicine, First Affiliated Hospital, WCUMS, Chengdu 610041.
authors.forename: W
authors.initials: W
authors.lastname: Chen
authors.forename: D
authors.initials: D
authors.lastname: Cheng
authors.forename: C
authors.initials: C
authors.lastname: Ji
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001980:Bronchi; D001999:Bronchoscopy; D002648:Child; D003951:Diagnostic Errors; D005260:Female; D005547:Foreign Bodies / Q000175:diagnosis*; D006801:Humans; D008171:Lung Diseases / Q000175:diagnosis; D008297:Male; D008875:Middle Aged