Moberly A C, Fritsch M H, Mosier K M
Department of Otolaryngology-Head and Neck Surgery, Indiana University Medical Center, Indianapolis, Indiana 46202, USA.
J Laryngol Otol. 2011 Feb;125(2):217-9. doi: 10.1017/S002221511000215X. Epub 2010 Oct 26.
To report an unusual case of hypopharyngeal perforation in a sword-swallower, with emphasis on management options.
Case report and review of the English language literature concerning sword-swallowing injuries to the hypopharynx and oesophagus.
A 29-year-old male sword-swallower suffered hypopharyngeal perforation during a performance. The patient received conservative management, with intensive care unit admission, infectious disease consultation, intravenous antibiotics, discontinuation of oral intake and close observation. He progressed well, resumed oral intake on hospital day six, and was discharged home on hospital day eight.
Sword-swallowing is an unusual vocation which may lead to potentially devastating injuries. This case report and review of the literature illustrates the management options for such hypopharyngeal and oesophageal injuries.
报告一例剑吞者下咽穿孔的罕见病例，并重点介绍治疗方案。
病例报告及对有关剑吞导致下咽和食管损伤的英文文献的综述。
一名29岁男性剑吞者在一次表演中发生下咽穿孔。患者接受了保守治疗，包括入住重症监护病房、感染病会诊、静脉使用抗生素、停止经口进食并密切观察。他恢复良好，于住院第6天恢复经口进食，并于住院第8天出院回家。
剑吞是一种罕见的职业，可能导致潜在的毁灭性损伤。本病例报告及文献综述阐述了此类下咽和食管损伤的治疗方案。
