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[下咽自残导致的纵隔脓肿]

[Mediastinal abscess caused by self-mutilation of the hypopharynx].

作者信息

Bak Nikolaj Bolsing, Rasmussen Niels

机构信息

Rigshospitalet, Øre-nase- hals-kirurgisk Klinik, København, Denmark.

出版信息

Ugeskr Laeger. 2010 May 24;172(21):1609-10.

PMID:20525475
Abstract

A 44-year-old male with a non-specific psychological disturbance was diagnosed with septicemia. The patient had unsuccessfully tried to remove what he believed to be a fish bone from his throat. Computed tomography revealed a descending abscess in the mediastinum along with perforations in the pharynx and oesophagus to the mediastinum. He was treated with antibiotics and drainage of the abscess and discharged after six weeks without sequelae. Sharp foreign bodies in the pharynx should be removed professionally to avoid perforation and thus mediastinitis.

摘要

一名44岁患有非特异性心理障碍的男性被诊断为败血症。该患者试图从喉咙中取出他认为是鱼骨的东西,但未成功。计算机断层扫描显示纵隔有下行性脓肿,同时咽部和食管有通向纵隔的穿孔。他接受了抗生素治疗和脓肿引流,六周后出院,无后遗症。咽部的尖锐异物应专业取出,以避免穿孔进而引发纵隔炎。

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