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牙签吸入后发生大咯血。

Massive hemoptysis after aspiration of a toothpick.

机构信息

Department of Surgery, University of New Mexico Health Sciences Center, Albuquerque, New Mexico 87131-0001, USA.

出版信息

Ann Thorac Surg. 2011 Mar;91(3):921-2. doi: 10.1016/j.athoracsur.2010.08.025.

Abstract

A 42-year-old man presented with massive hemoptysis. His past medical history was significant for a bayonet injury to the left chest several years ago. A chest computed tomographic scan showed a radio-opaque foreign body in the left lower lobe. A left thoracotomy was performed because of unrelenting hemoptysis in association with a foreign body that could not be retrieved by bronchoscopy. At surgery, a toothpick covered with blood was retrieved from the left lower lobe bronchus. A left lower lobectomy was performed because a lung abscess was present. Postoperatively, the patient confirmed that 1 year prior he had fallen asleep with a toothpick in his mouth while intoxicated.

摘要

一位 42 岁男性因大咯血就诊。他的既往病史为几年前左胸刺刀伤。胸部 CT 扫描显示左下叶有一个不透射线的异物。由于持续咯血并伴有支气管镜无法取出的异物,行左开胸术。术中从左下叶支气管取出一根带血牙签。因存在肺脓肿而行左肺下叶切除术。术后,患者证实 1 年前他醉酒时嘴里含着牙签入睡后摔倒。

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