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气道堵塞:一个伪装成支气管癌的塑料交通锥。

An airway traffic jam: a plastic traffic cone masquerading as bronchial carcinoma.

作者信息

Denny Nicholas, Maqsood Usman, Fowler Stephen, Munavvar Mohammed

机构信息

Department of Respiratory Medicine, Wythenshawe Hospital, Manchester, UK.

Department of Respiratory Medicine, Royal Preston Hospital, Preston, UK.

出版信息

BMJ Case Rep. 2017 Sep 21;2017:bcr-2017-220514. doi: 10.1136/bcr-2017-220514.

Abstract

Tracheobronchial foreign body (TFB) aspiration is a common occurrence in children compared with adults. Long-standing cases of TFB aspiration during childhood presenting in an adult have rarely been reported. We report the unique case of an endobronchial Playmobil traffic cone that went undetected for 40 years and presented as a suspected bronchogenic carcinoma. This was subsequently removed successfully with flexible bronchoscopy. To our knowledge this is the first case of a TFB that was overlooked this length of time.

摘要

与成人相比,气管支气管异物(TFB)吸入在儿童中更为常见。儿童期长期存在的TFB吸入病例在成人期出现的情况鲜有报道。我们报告了一例独特的病例,一个支气管内的Playmobil交通锥异物40年来未被发现,表现为疑似支气管源性癌。随后通过柔性支气管镜成功取出。据我们所知,这是第一例被忽视如此长时间的TFB病例。

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引用本文的文献

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Airway Foreign Body-Leave Nothing Behind.气道异物——切勿遗留任何东西。
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本文引用的文献

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Pill aspiration presenting as an endobronchial tumor.表现为支气管内肿瘤的药丸误吸
J Bronchology Interv Pulmonol. 2014 Apr;21(2):162-5. doi: 10.1097/LBR.0000000000000055.
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Int J Pediatr Otorhinolaryngol. 2013 Oct;77(10):1683-8. doi: 10.1016/j.ijporl.2013.07.026. Epub 2013 Aug 17.
4
Endobronchial foreign body removed by rigid bronchoscopy after 39 years.39年后经硬质支气管镜取出支气管内异物。
Interact Cardiovasc Thorac Surg. 2010 Dec;11(6):866-8. doi: 10.1510/icvts.2010.243097. Epub 2010 Sep 8.
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Extraction of airway foreign bodies in adults: experience from 1987-2008.成人气道异物取出术:1987年至2008年的经验
Interact Cardiovasc Thorac Surg. 2009 Sep;9(3):402-5. doi: 10.1510/icvts.2009.207332. Epub 2009 Jun 2.
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Inhaled foreign body overlooked for 25 years in an adult.一名成年人吸入异物25年未被发现。
Gen Thorac Cardiovasc Surg. 2008 Apr;56(4):191-4. doi: 10.1007/s11748-007-0212-9. Epub 2008 Apr 10.
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Late diagnosis of foreign body aspiration in children with chronic respiratory symptoms.慢性呼吸道症状儿童异物吸入的延迟诊断
Int J Pediatr Otorhinolaryngol. 2007 Feb;71(2):241-6. doi: 10.1016/j.ijporl.2006.10.006. Epub 2006 Nov 27.

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