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异物

Foreign bodies.

作者信息

Hunter Tim B, Taljanovic Mihra S

机构信息

Department of Radiology, University of Arizona Health Sciences Center, 1501 N Campbell Ave, Tucson, AZ 85724, USA.

出版信息

Radiographics. 2003 May-Jun;23(3):731-57. doi: 10.1148/rg.233025137.

Abstract

Foreign bodies are uncommon, but they are important and interesting. Foreign bodies may be ingested, inserted into a body cavity, or deposited into the body by a traumatic or iatrogenic injury. Most ingested foreign bodies pass through the gastrointestinal tract without a problem. Most foreign bodies inserted into a body cavity cause only minor mucosal injury. However, ingested or inserted foreign bodies may cause bowel obstruction or perforation; lead to severe hemorrhage, abscess formation, or septicemia; or undergo distant embolization. Motor vehicle accidents and bullet wounds are common causes of traumatic foreign bodies. Metallic objects, except aluminum, are opaque, and most animal bones and all glass foreign bodies are opaque on radiographs. Most plastic and wooden foreign bodies (cactus thorns, splinters) and most fish bones are not opaque on radiographs. All patients should be thoroughly screened for foreign bodies before undergoing a magnetic resonance imaging study.

摘要

异物并不常见,但它们既重要又有趣。异物可能会被吞食、插入体腔,或者因外伤或医源性损伤而进入体内。大多数吞食的异物会顺利通过胃肠道。大多数插入体腔的异物只会造成轻微的黏膜损伤。然而,吞食或插入的异物可能会导致肠梗阻或穿孔;引发严重出血、脓肿形成或败血症;或者发生远处栓塞。机动车事故和枪伤是外伤性异物的常见原因。除铝之外的金属物体是不透光的,大多数动物骨头和所有玻璃异物在X光片上也是不透光的。大多数塑料和木质异物(仙人掌刺、碎片)以及大多数鱼骨在X光片上是不透光的。所有患者在进行磁共振成像检查前都应进行全面的异物筛查。

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