Tseng Hsiang-Jer, Hanna Tarek N, Shuaib Waqas, Aized Majid, Khosa Faisal, Linnau Ken F
Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, GA.
Division of Emergency Radiology, Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, GA.
Ann Emerg Med. 2015 Dec;66(6):570-582.e5. doi: 10.1016/j.annemergmed.2015.07.499. Epub 2015 Aug 29.
Foreign bodies can gain entrance to the body through several mechanisms, ie, ingestion, aspiration, and purposeful insertion. For each of these common entry mechanisms, this article examines the epidemiology, clinical presentation, anatomic considerations, and key imaging characteristics associated with clinically relevant foreign bodies seen in the emergency department (ED) setting. We detail optimal use of multiple imaging techniques, including radiography, ultrasonography, fluoroscopy, and computed tomography to evaluate foreign bodies and their associated complications. Important imaging and clinical features of foreign bodies that can alter clinical management or may necessitate emergency intervention are discussed.
异物可通过多种途径进入人体,即摄入、吸入和故意插入。针对这些常见的进入途径,本文探讨了在急诊科(ED)环境中所见的与临床相关异物相关的流行病学、临床表现、解剖学考量及关键影像学特征。我们详细介绍了多种成像技术的最佳应用,包括X线摄影、超声、荧光透视和计算机断层扫描,以评估异物及其相关并发症。文中还讨论了可改变临床管理或可能需要紧急干预的异物的重要影像学和临床特征。