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自发性支气管内侵蚀及咳出一枚留存于胸腔内的子弹:病例报告

Spontaneous endobronchial erosion and expectoration of a retained intrathoracic bullet: case report.

作者信息

Saunders M S, Cropp A J, Awad M

机构信息

Department of General Surgery, St. Elizabeth Hospital Medical Center, Youngstown, OH 44501-1790.

出版信息

J Trauma. 1992 Dec;33(6):909-11. doi: 10.1097/00005373-199212000-00021.

Abstract

In all four previously reported cases of endobronchial erosion from retained intrathoracic foreign objects, the object eventually required surgical removal. We report the case of a patient with a bullet in the left hemithorax who developed bronchial erosion and hemoptysis 3 months after the injury, with subsequent expectoration of the bullet. Although most foreign bodies within the thorax pose no special problems, migration of the object or the development of symptoms warrants investigation and possibly subsequent surgical removal of the object.

摘要

在先前报道的所有4例因胸腔内异物残留导致支气管侵蚀的病例中,最终均需通过手术取出异物。我们报告1例左半胸有子弹残留的患者,受伤3个月后出现支气管侵蚀和咯血,随后咳出子弹。虽然胸腔内的大多数异物不会引发特殊问题,但异物移位或出现症状仍需进行检查,并可能随后通过手术取出异物。

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