Ghai A, Wadhera R, Hooda S, Kumar P
Department of Anesthesiology & Critical Care, Pt. B.D. Sharma PGIMS, Rohtak, Haryana, India.
Acta Anaesthesiol Belg. 2010;61(4):221-3.
Laryngeal foreign bodies are not uncommon. A common difficulty encountered is a delay in diagnosis. The clinical features of a laryngeal foreign body may simulate asthma in an adult. The differentiation is necessary in the initial stages as the laryngeal foreign body can lead to sudden death due to airway obstruction. Sudden onset of wheeze in a non-asthmatic patient should arouse its suspicion. A case is reported where patient was transferred to respiratory intensive care unit for respiratory distress with wheeze which was later diagnosed as foreign body larynx.
喉异物并不罕见。常见的困难是诊断延迟。喉异物的临床特征在成人中可能类似哮喘。在初始阶段进行鉴别很有必要,因为喉异物可因气道阻塞导致猝死。非哮喘患者突然出现喘息应引起怀疑。本文报告一例患者因喘息伴呼吸窘迫被转入呼吸重症监护病房,后来被诊断为喉异物。