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一名50岁的男性,有进行性呼吸困难。

A 50-year-old man with progressive dyspnea.

作者信息

Aliyali Masoud, Abedi Siavash

机构信息

Department of Internal Medicine, Pulmonary and Critical Care Division, Mazandaran University of Medical Sciences, Sari, Iran.

出版信息

Tanaffos. 2012;11(1):61-2.

Abstract

Dental foreign body aspiration is a known complication in patients with maxillofacial trauma. Although diagnosis may be delayed, especially in elderly people with radiolucent dental appliances, clinician must be aware of dental tracheobronchial aspiration to minimize potentially serious consequences. We present a 50-year-old man with three months history of progressive dyspnea due to foreign body aspiration occluding distal trachea. The patient had a history of car accident with facial trauma and denture fracture two years before presentation. Fiberoptic bronchoscopy revealed almost totally obstructing mass-like lesion with nodular infiltration in distal trachea. The patient underwent rigid bronchoscopy and a piece of denture with three teeth was extracted.

摘要

牙异物误吸是颌面创伤患者中一种已知的并发症。尽管诊断可能会延迟,尤其是在佩戴透射线假牙的老年人中,但临床医生必须意识到牙气管支气管误吸,以尽量减少潜在的严重后果。我们报告一名50岁男性,因异物误吸阻塞远端气管,有三个月进行性呼吸困难病史。该患者在就诊前两年有面部创伤和假牙骨折的车祸史。纤维支气管镜检查显示远端气管有几乎完全阻塞的肿块样病变,并伴有结节状浸润。患者接受了硬质支气管镜检查,取出了一块带有三颗牙齿的假牙。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0d2/4153181/89145ce1c8c0/Tanaffos-11-061-g001.jpg

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