Muth D, Schafermeyer R W
Charlotte Memorial Hospital and Medical Center, NC 28203.
Pediatr Emerg Care. 1990 Jun;6(2):110-2. doi: 10.1097/00006565-199006000-00011.
New onset wheezing in the young child can present an interesting differential diagnostic challenge, especially when there is an atypical presentation of a foreign body lodged in the airway. A thorough history and physical examination helps, but one must remember that a foreign body in the trachea or esophagus can masquerade as a respiratory illness. The chest x-ray is a useful part of the evaluation process. A high degree of suspicion is necessary on the part of the physician to remember that "all that wheezes is not asthma," even in the absence of a history of aspiration of a foreign body.
幼儿新发喘息可能带来有趣的鉴别诊断挑战，尤其是当气道内有异物的非典型表现时。详尽的病史和体格检查会有所帮助，但必须记住，气管或食管内的异物可能伪装成呼吸道疾病。胸部X光检查是评估过程中的有用部分。即使没有异物吸入史，医生也必须高度怀疑，记住“并非所有喘息都是哮喘”。
