通讯作者: 杨程, ychen319@126.com

DOI：10.12201/bmr.202609.00020

Analysis of Two Misdiagnosed Cases of Bronchial Foreign Bodies in Adults with a Literature Review

• 摘要：目的：探讨成人支气管异物的临床特点、误诊原因及诊治策略,提高诊疗水平。方法：回顾性分析2例以慢性咳嗽为主要表现且易被误诊为肺炎和肺癌的成人支气管异物病例,结合国内外相关文献进行综合分析。结果：2例病例都以慢性咳嗽为特征,症状反复,经支气管镜检查发现并取出异物,经抗感染治疗均痊愈。结论：成人支气管异物临床表现隐匿,误诊率高。对于慢性咳嗽反复发作或抗感染治疗效果不佳者,应高度警惕气道异物可能,尽早行支气管镜检查以明确诊断。

  关键词： 异物；支气管疾病；慢性咳嗽；成人；误诊; ; ; ; 

   

  Abstract: Objective: To investigate the clinical characteristics, causes of misdiagnosis, and diagnostic and treatment strategies for bronchial foreign bodies in adults, with the aim of improving the quality of diagnosis and treatment. Methods: Analyzed two cases of bronchial foreign bodies in adults, which were characterized by chronic cough and were prone to misdiagnosis, and conducted a comprehensive analysis in conjunction with relevant domestic and international literature. Results: Both cases were characterized by chronic cough with recurrent symptoms. The foreign bodies were identified and removed via bronchoscopy, and both patients recovered following antimicrobial therapy. Conclusion: Bronchial foreign bodies in adults present with insidious clinical manifestations and a high rate of misdiagnosis. For patients with recurrent chronic cough or those who respond poorly to antimicrobial therapy, the possibility of an airway foreign body should be strongly suspected, and bronchoscopy should be performed as early as possible to confirm the diagnosis.

  Key words: Foreign bodies; Bronchial diseases; Chronic cough; Adults; Misdiagnosis

  提交时间：2026-09-12

  版权声明：作者本人独立拥有该论文的版权，预印本系统仅拥有论文的永久保存权利。任何人未经允许不得重复使用。
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• 序号	提交日期	编号	操作
  1	2026-08-04	10.12201/bmr.202609.00020V1	下载

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