儿童呼吸道中的罕见异物
Unusual Foreign Bodies in the Respiratory Tract of Children.
作者信息
Kansal Bharat, Swamy K Mallikarjuna, Ramesh H, Kumar Basanth
机构信息
Department of Paediatrics, Bapuji Child Health Institute and Research Center; and *Department of ENT, JJMMC; Davangere, Karnataka, India. Correspondence to: Dr Bharat Kansal, Department of Pediatrics, Bapuji Child Health Institute and Research Center, JJMMC, Davangere, Karnataka - 577004.
出版信息
Indian Pediatr. 2015 Jul;52(7):611-2. doi: 10.1007/s13312-015-0685-z.
BACKGROUND
Diagnosis of a foreign body without history of aspiration has always been a challenge to pediatricians.
CASE CHARACTERISTICS
Four cases presented with non-relieving acute or chronic history of respiratory symptoms.
OBSERVATIONS
All of them had unusual types of foreign bodies-plastic flower toy, button, sticker or stone in their respiratory tract.
OUTCOME
All four patients improved after removal of the foreign body.
MESSAGE
A differential diagnosis of foreign body should always be made in an acute or chronic presentation of respiratory cases.
背景
对于没有误吸史的异物诊断一直是儿科医生面临的一项挑战。
病例特征
4例患者均有持续不缓解的急性或慢性呼吸道症状病史。
观察结果
所有患者呼吸道内均有不寻常类型的异物——塑料花玩具、纽扣、贴纸或石头。
结果
所有4例患者在取出异物后均有改善。
启示
对于急性或慢性呼吸道病例，应始终进行异物的鉴别诊断。
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