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一例以斜颈为表现的食管异物罕见病例。

An unusual case of an oesophageal foreign body presenting as torticollis.

作者信息

Walton J M, Darr A, George A

机构信息

Northampton General Hospital NHS Trust , UK.

Walsall Healthcare NHS Trust , UK.

出版信息

Ann R Coll Surg Engl. 2016 Mar;98(3):e40-2. doi: 10.1308/rcsann.2016.0076.

Abstract

Oesophageal foreign bodies (FBs) are commonly encountered in an otolaryngology setting. The majority of such cases remain in the paediatric population, where obtaining an accurate history of events is challenging. Oesophageal FBs present in a variety of ways other than dysphagia, which may result in delayed presentation, diagnosis and subsequent treatment. Where an ingested FB is a battery, early removal is advocated owing to the potential for significant complications, a problem highlighted by a patient safety alert issued by NHS England. A common paediatric presentation, torticollis has a multitude of potential underlying causes. We present an unusual case of torticollis in a two-year old girl, subsequently revealed to be caused by an ingested button battery.

摘要

食管异物在耳鼻喉科环境中很常见。此类病例大多发生在儿童群体中,要获取准确的事件病史具有挑战性。食管异物除吞咽困难外还以多种方式表现出来,这可能导致就诊、诊断及后续治疗延迟。如果摄入的异物是电池,鉴于可能出现严重并发症,主张尽早取出,英国国民保健制度发布的患者安全警报突出了这一问题。斜颈是儿童常见的表现,有多种潜在的根本原因。我们报告了一名两岁女孩斜颈的罕见病例,后来发现是由摄入的纽扣电池引起的。

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本文引用的文献

1
Torticollis in children: an alert symptom not to be turned away.小儿斜颈:一个不容忽视的警示症状。
Childs Nerv Syst. 2015 Sep;31(9):1461-70. doi: 10.1007/s00381-015-2764-9. Epub 2015 Jun 5.
3
Imaging of torticollis in children.儿童斜颈的影像学表现。
Radiographics. 2012 Mar-Apr;32(2):557-71. doi: 10.1148/rg.322105143.
4
Emerging battery-ingestion hazard: clinical implications.新兴的电池摄入危害:临床意义。
Pediatrics. 2010 Jun;125(6):1168-77. doi: 10.1542/peds.2009-3037. Epub 2010 May 24.
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Button battery ingestion.纽扣电池摄入。
Indian J Pediatr. 2005 Feb;72(2):173-4. doi: 10.1007/BF02760705.

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