Ben-Dov I, Aelony Y
Department of Medicine, Hadassah Hebrew University, Mount Scopus, Jerusalem, Israel.
Postgrad Med J. 1989 May;65(763):299-301. doi: 10.1136/pgmj.65.763.299.
We describe two otherwise healthy subjects with many years sequelae due to lung aspiration. In both, diagnosis was delayed due to lack of history of aspiration. Recurrent pneumonia in the same segment in one, and migratory pneumonia in the other, could have suggested the diagnosis. Review of the literature shows that occult foreign body aspiration poses difficulties in diagnosis and that often a history of aspiration is lacking. However, the recurrent nature and the localization of the pneumonia, as well as the findings during bronchoscopy, should alert the physician to the possibility of foreign body aspiration.
我们描述了两名原本健康的受试者，他们因肺部误吸而出现了多年的后遗症。在这两名受试者中，由于缺乏误吸病史，诊断均被延迟。其中一名受试者同一肺段反复发生肺炎，另一名则出现游走性肺炎，这些情况本可提示诊断。文献回顾表明，隐匿性异物误吸在诊断上存在困难，且常常缺乏误吸病史。然而，肺炎的反复性、定位以及支气管镜检查结果应提醒医生注意异物误吸的可能性。
