Evman Serdar, Tezel Yelda, Evman Melis Demirag, Tezel Çagatay
Department of Thoracic Surgery, Sureyyapasa Chest Diseases and Thoracic Surgery Training and Research Hospital, Istanbul, Turkey.
Department of Pulmonology, Haydarpasa Numune Training and Research Hospital, Istanbul, Turkey.
Surg J (N Y). 2016 Mar 14;2(1):e49-e50. doi: 10.1055/s-0036-1580707. eCollection 2016 Mar.
A 55-year-old man was admitted to the emergency department with severe dyspnea and hoarseness, starting immediately after a hypotensive syncope attack at home. Pulmonary auscultation revealed generalized stridor and right-sided wheezing, with no finding in the upper airway on direct laryngoscopy. Chest X-ray and computed thorax tomography revealed a high-density foreign body on the carina, causing partial obstruction in the right main bronchus. The fractured dental plate, probably aspirated during the syncope attack, was successfully removed by rigid bronchoscopy. The postoperative period was uneventful and the patient was discharged on the same day. Rapid physical and radiologic examination of patients with severe acute dyspnea is vital for determining the treatment modality and preventing any potential mortality.
一名55岁男性因在家中发生低血压性晕厥发作后立即出现严重呼吸困难和声音嘶哑而被送往急诊科。肺部听诊发现广泛性喘鸣和右侧哮鸣音，直接喉镜检查未发现上呼吸道异常。胸部X线和胸部计算机断层扫描显示隆突处有一高密度异物，导致右主支气管部分阻塞。可能在晕厥发作时误吸的断裂牙托经硬质支气管镜成功取出。术后恢复顺利，患者于同日出院。对严重急性呼吸困难患者进行快速体格检查和影像学检查对于确定治疗方式和预防任何潜在死亡至关重要。
