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90岁男性全口义齿咽吸入;病例报告

Pharyngeal Aspiration of Complete Upper Denture in 90-Year-Old Man; a Case Report.

作者信息

Haghighi Mehrdad, Shoaei Simin Dokht

机构信息

Clinical Research and Development Center, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

Emerg (Tehran). 2015 Summer;3(3):117-9.

PMID:26495397
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4608337/
Abstract

Foreign body aspiration is unusual in adults, except those who are debilitated or have neuropsychiatric disorders. It can be a life-threatening situation and it often requires a high index of suspicion, because the diagnosis can be obscure. Prompt diagnosis and intervention through foreign body retrieval are critical to prevent significant morbidity and mortality. We present a case of denture aspiration by a debilitated 90 years old man. He had aspirated his complete upper denture to pharynx causing incomplete obstruction with pleasure whistling respiratory sound, dyspnea, dysphagia and dysphonia. He underwent successful retrieval of the dental plate manually by fingers with complete resolution of symptoms.

摘要

成人异物吸入并不常见,衰弱或患有神经精神疾病者除外。这可能是一种危及生命的情况,通常需要高度怀疑,因为诊断可能不明确。通过取出异物进行及时诊断和干预对于预防严重的发病率和死亡率至关重要。我们报告一例90岁衰弱男性吸入假牙的病例。他将完整的上假牙吸入咽部,导致不完全梗阻,伴有愉悦的吹口哨样呼吸音、呼吸困难、吞咽困难和发音障碍。通过手指手动成功取出假牙,症状完全缓解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e24/4608337/1bff9be5e4dc/emerg-3-117-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e24/4608337/3799a9b2b22f/emerg-3-117-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e24/4608337/58d60c1c98fb/emerg-3-117-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e24/4608337/1bff9be5e4dc/emerg-3-117-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e24/4608337/3799a9b2b22f/emerg-3-117-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e24/4608337/58d60c1c98fb/emerg-3-117-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e24/4608337/1bff9be5e4dc/emerg-3-117-g003.jpg

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本文引用的文献

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A 16-Year-Old Girl with Acute Onset Respiratory Distress.一名突发呼吸窘迫的16岁女孩。
Emerg (Tehran). 2014 Winter;2(1):50-2.
2
The clinical features of foreign body aspiration into the lower airway in geriatric patients.老年患者下呼吸道异物吸入的临床特征
Clin Interv Aging. 2014 Sep 24;9:1613-8. doi: 10.2147/CIA.S70924. eCollection 2014.
3
Aerodigestive foreign bodies in adult ethiopian patients: a prospective study at tikur anbessa hospital, ethiopia.埃塞俄比亚成年患者的气道消化道异物:埃塞俄比亚提古雷·安贝萨医院的一项前瞻性研究。
Tanaffos. 2016;15(4):246-248.
4
A Rare Case of Gastrointestinal Tract Foreign Body; Glassy Stomach.一例罕见的胃肠道异物;玻璃胃
Emerg (Tehran). 2017;5(1):e44. Epub 2017 Jan 14.
5
Designing for Safety: Implications of a Fifteen Year Review of Swallowed and Aspirated Dentures.安全设计:对吞咽和误吸假牙十五年回顾的启示
J Oral Maxillofac Res. 2016 Jun 30;7(2):e3. doi: 10.5037/jomr.2016.7203. eCollection 2016 Apr-Jun.
6
Prolonged Impacted Denture in the Esophagus: A Case Report and Review of the Literature.食管内长期嵌顿假牙:一例报告及文献综述
Bull Emerg Trauma. 2015 Jan;3(1):32-5.
Int J Otolaryngol. 2014;2014:293603. doi: 10.1155/2014/293603. Epub 2014 Apr 15.
4
Foreign body aspiration of a dental bridge in the left main stem bronchus.左主支气管内牙桥异物吸入
Case Rep Med. 2012;2012:798163. doi: 10.1155/2012/798163. Epub 2012 Oct 10.
5
Unusual foreign body aspiration as a cause of asphyxia in adults: an autopsy case report.成人因异物吸入导致窒息的罕见病例:尸检报告
Am J Forensic Med Pathol. 2012 Sep;33(3):284-5. doi: 10.1097/PAF.0b013e3182519ef5.
6
Left main bronchus foreign body masquerading as diaphragmatic hernia in an adult patient.一名成年患者中伪装成膈疝的左主支气管异物。
Int J Surg Case Rep. 2012;3(5):170-2. doi: 10.1016/j.ijscr.2011.12.007. Epub 2012 Jan 28.
7
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South Med J. 2009 Feb;102(2):171-4. doi: 10.1097/SMJ.0b013e318193c9c8.
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