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儿童呼吸窘迫的惊人原因:喉部水蛭。

Surprising cause of respiratory distress in child: laryngeal leech.

作者信息

Yazici Haşmet, Doğan Sedat, Sunter Ahmet Volkan, Yilmaz Engin, Daşkaya Hayrettin

机构信息

ENT Clinic, Mardin Public Hospital, Mardin, Turkey.

出版信息

J Craniofac Surg. 2012 May;23(3):e272-3. doi: 10.1097/SCS.0b013e31824dfbbb.

Abstract

Foreign body aspiration is a major problem that can cause respiratory distress and oral bleeding in a child. Leeches are rarely seen foreign bodies in the larynx. Generally, they live in springwater and can be aspirated by drinking. They can cause respiratory distress, oral bleeding, and anemia, if diagnostic process is delayed. When leeches are detected, urgent diagnosis and treatment are necessary. In this case, we present a 7-year-old child examined in the emergency service with these symptoms. A dark green living body in the larynx was detected and removed urgently under sedo-analgesia. The living body was seen as a leech that is 5 cm in length.

摘要

异物吸入是一个可导致儿童呼吸窘迫和口腔出血的主要问题。水蛭是罕见的喉部异物。它们一般生活在泉水中,可因饮水而被吸入。如果诊断过程延误,它们可导致呼吸窘迫、口腔出血和贫血。当检测到水蛭时,需要进行紧急诊断和治疗。在此病例中,我们介绍一名在急诊室接受检查、出现这些症状的7岁儿童。在喉部检测到一个深绿色活体,并在镇静镇痛下紧急将其取出。该活体被确认为一条长5厘米的水蛭。

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