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“气管内钓鱼”:一例独特的异物吸入病例

"Fishing in the trachea": a unique case of foreign body aspiration.

作者信息

Medidi Sunil, Fountain Anna, Radwan Mohamed, Rumbak Mark

机构信息

Department of Interventional Pulmonology, University of South Florida, Tampa, FL, USA.

出版信息

J Bronchology Interv Pulmonol. 2012 Apr;19(2):168-70. doi: 10.1097/LBR.0b013e3182517cd0.

DOI:10.1097/LBR.0b013e3182517cd0
PMID:23207367
Abstract

A 36-year-old white man presented with hemoptysis and hematemesis. The medical history was significant for a bipolar disorder and schizophrenia. He had swallowed 3 fishhooks and aspirated 1 into his lungs. A chest x-ray showed the fishhook in the right main stem bronchus. He underwent a flexible bronchoscopy for removal of the foreign object. The technique of the removal of the fishhook is described. Foreign object aspiration usually occurs in the pediatric or the geriatric population. Aspiration of foreign objects in adults is commonly associated with psychiatric illnesses in patients. After appropriate imaging, bronchoscopy or even cardiothoracic surgery is usually required for removal of the foreign object. Fishhooks may be more difficult to remove.

摘要

一名36岁的白人男性出现咯血和呕血症状。病史显示其患有双相情感障碍和精神分裂症。他曾吞下3枚鱼钩,其中1枚吸入肺部。胸部X光显示鱼钩位于右主支气管。他接受了柔性支气管镜检查以取出异物。文中描述了取出鱼钩的技术。异物吸入通常发生在儿童或老年人群中。成人异物吸入通常与患者的精神疾病有关。经过适当的影像学检查后,通常需要进行支气管镜检查甚至心胸外科手术来取出异物。鱼钩可能更难取出。

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