病史、体征及影像学检查对婴幼儿可疑呼吸道异物的诊断价值研究

发布时间：2018-03-02 17:21

本文选题：异物　切入点：呼吸道　出处：《中国全科医学》2017年S1期 　论文类型：期刊论文

【摘要】：目的探讨病史、体征和影像学检查对婴幼儿可疑呼吸道异物的诊断价值。方法选取2011年5月—2016年5月温州医科大学附属第三医院收治的可疑呼吸道异物患儿100例。以支气管镜检查结果为诊断金标准,计算病史、体征及影像学检查诊断可疑呼吸道异物患儿的灵敏度、特异度、阳性预测值及阴性预测值。结果 100例可疑呼吸道异物患儿,经病史、体征、X线检查及CT检查的阳性率分别为81.0%、85.0%、90.0%、99.0%。病史、体征、X线检查及CT检查诊断可疑呼吸道异物的灵敏度分别为79.93%、82.46%、87.51%、91.27%;特异度分别为35.24%、40.38%、27.69%、12.47%;阳性预测值分别为91.36%、94.27%、90.05%、95.18%;阴性预测值分别为13.68%、28.26%、31.24%、20.59%。结论若患儿病史、体征及影像学检查中任一项出现异常,则建议行支气管镜检查以确诊;如条件限制不能行支气管镜检查,建议先行X线或CT检查以明确病情。
[Abstract]:Objective to explore the history of disease, Methods from May 2011 to May 2016, 100 children with suspicious respiratory foreign bodies admitted in the third affiliated Hospital of Wenzhou Medical University were examined with bronchoscopy. The result of the examination is the diagnostic gold standard. The sensitivity, specificity, positive predictive value and negative predictive value were calculated for the diagnosis of suspicious respiratory foreign bodies in 100 children with suspicious respiratory tract foreign bodies. The positive rates of X ray examination and CT examination were 81.0% and 85.0%, respectively. The sensitivity of X ray examination and CT examination in the diagnosis of suspicious foreign bodies in respiratory tract were 79.933 and 82.46, respectively. The sensitivity was 91.271.271.271.27; the specificity was 35.2440.3827.697.69 and 12.47, respectively; the positive predictive value was 91.360.279.279.95.1818. the negative predictive value was 13.68,28.2628.267.243.2420.59.Conclusion if there is any abnormality in the physical sign and imaging examination of the child, Bronchoscopy is recommended for diagnosis, and X-ray or CT examination is recommended for diagnosis if conditions are limited.
【作者单位】：温州医科大学附属第三医院;
【分类号】：R768.13

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