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[吸入围巾别针后异物的手术取出:两例报告]

[The surgical extraction of foreign bodies after the inhalation of a scarf pin: two cases].

作者信息

Arsalane A, Zidane A, Atoini F, Traibi A, Kabiri E H

机构信息

Service de Chirurgie Thoracique, Hôpital Militaire d'Instruction Mohamed V, avenue des Forces-Armées-Royales, Hay Riad, Rabat, Morocco.

出版信息

Rev Pneumol Clin. 2009 Oct;65(5):293-6. doi: 10.1016/j.pneumo.2009.02.004. Epub 2009 Jun 7.

Abstract

The inhalation of a foreign body (FB) is rare in the adult although more common in the child. The type of FB varies greatly according to the dietary and educational habits of the populations studied. In Morocco, metal FB are common, especially the pins used to attach scarves. These pins migrate easily and wedge at a distance making them difficult to extract by endoscopy, thereby resulting in thoracotomy. The authors present two cases of the inhalation of a pin held in the mouth during a sudden emotion. Since the clinical symptomatology is inconspicuous, thoracic imaging is used to locate the FB. After a failure to extract it by rigid bronchoscopy combined with flexible bronchoscopy, the two patients underwent surgery. The sequellae were simple. Prevention in both the child and in the adult are the best way to avoid this incident that may have dramatic results.

摘要

异物吸入在成人中较为罕见,在儿童中则更为常见。异物的类型因所研究人群的饮食习惯和教育习惯而有很大差异。在摩洛哥,金属异物很常见,尤其是用于固定围巾的别针。这些别针很容易移动并在远处卡住,使得通过内窥镜检查难以取出,从而导致开胸手术。作者介绍了两例因突然情绪激动时口中含着别针而发生吸入的病例。由于临床症状不明显,胸部成像用于定位异物。在通过硬支气管镜联合软支气管镜未能取出异物后,两名患者均接受了手术。后遗症很轻微。儿童和成人的预防是避免这种可能产生严重后果事件的最佳方法。

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