未被发现的鼻咽部异物延迟就诊。
Delayed presentation of an undiscovered nasopharyngeal foreign body.
作者信息
Ramdoo Krishan, Manjaly Joseph G, Tatla Taran
机构信息
Ear Institute, University College London, London, UK Department of Ear, Nose and Throat Surgery, Northwick Park Hospital, London, UK.
Department of Ear, Nose and Throat Surgery, Northwick Park Hospital, London, UK.
出版信息
BMJ Case Rep. 2014 Jun 12;2014:bcr2014204246. doi: 10.1136/bcr-2014-204246.
Suspected paediatric aerodigestive tract foreign body (FB) ingestion or aspiration is a commonly encountered emergency. Management may require a general anaesthetic for retrieval with bronchoscopy, laryngoscopy and oesophagoscopy, each dependent on the history and investigations of the case in question. We describe the case of a foreign body, which was missed in the nasopharynx for more than 3 years and also discuss how pressures on National Health Service (NHS) referral and follow-up patterns may have altered the time course of the eventual discovery.
疑似小儿气道消化道异物（FB）摄入或吸入是一种常见的紧急情况。处理可能需要全身麻醉，通过支气管镜检查、喉镜检查和食管镜检查取出异物，每种检查都取决于具体病例的病史和检查结果。我们描述了一例在鼻咽部遗漏了3年多的异物病例，并讨论了国民医疗服务体系（NHS）转诊和随访模式的压力可能如何改变最终发现异物的时间进程。
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