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成人因异物吸入导致窒息的罕见病例:尸检报告

Unusual foreign body aspiration as a cause of asphyxia in adults: an autopsy case report.

作者信息

Aissaoui Abir, Salem Nidhal Haj, Chadly Ali

机构信息

Department of Forensic Medicine, University Hospital Fattouma Bourguiba, Monastir, Tunisia.

出版信息

Am J Forensic Med Pathol. 2012 Sep;33(3):284-5. doi: 10.1097/PAF.0b013e3182519ef5.

DOI:10.1097/PAF.0b013e3182519ef5
PMID:22835963
Abstract

Most asphyxia deaths caused by foreign body aspiration occur in children and the elderly. It can also occur in specific high-risk groups of adults, such as those with underlying esophageal diseases, prisoners, those with mental retardation, and those with psychiatric illnesses. We report the case of a 49-year-old man, without previous medical history, who died rapidly after aspirating a sole fish while he was unraveling the fishing net using his teeth. At autopsy, the foreign body was found in the trachea, wedged in the carina and obstructing the right bronchus origin. The finding from the usual toxicological screening was negative.

摘要

大多数因异物吸入导致的窒息死亡发生在儿童和老年人身上。它也可能发生在特定的成年高危人群中,如患有潜在食管疾病的人、囚犯、智力迟钝者和患有精神疾病的人。我们报告一例49岁男性病例,该患者既往无病史,在用牙齿解开渔网时吸入一条鱼后迅速死亡。尸检时,在气管中发现异物,卡在隆突处并阻塞右主支气管起始部。常规毒理学筛查结果为阴性。

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