Jain S, Kashikar S, Deshmukh Pt, Gosavi Sn, Kaushal A
Department of Otorhinolaryngology and Head and Neck Surgery, Jawahar Lal Nehru Medical College, DMIMSU, Sawangi, Wardha, Maharashtra, India.
Ann Med Health Sci Res. 2013 Jul;3(3):464-6. doi: 10.4103/2141-9248.117937.
Impacted laryngeal foreign body could lead to catastrophic consequences if appropriate diagnostic and therapeutic procedures are not promptly instituted. A case of 4-year-old child who presented with a 4-day history of probable ingestion or aspiration of a pen part and history of occasional noisy breathing on exertion and swallowing is reported. On examination, the child appeared asymptomatic on general examination. CT scan of larynx and chest revealed foreign body in the larynx. A conical plastic foreign body in the laryngotracheal junction was retrieved by rigid bronchoscopy. The asymptomatic nature of the foreign body was related to the presence of a lumen within the foreign body permitting ventilation and the inert nature of the material. The case demonstrates the importance of the history, CT scan in case of suspicion, and the need for urgent bronchoscopy with appropriate anesthetic technique.
如果不及时采取适当的诊断和治疗措施，嵌顿性喉部异物可能会导致灾难性后果。本文报告了一例4岁儿童病例，该儿童有笔的一部分可能被吞食或吸入的4天病史，并有运动和吞咽时偶尔呼吸嘈杂的病史。检查时，患儿全身检查无明显症状。喉部和胸部CT扫描显示喉部有异物。通过硬质支气管镜取出了位于喉气管交界处的圆锥形塑料异物。异物无症状的性质与异物内存在允许通气的管腔以及材料的惰性有关。该病例证明了病史、疑似病例的CT扫描的重要性，以及采用适当麻醉技术进行紧急支气管镜检查的必要性。
