Takeda Munekazu, Yaguchi Arino, Harada Tomoyuki, Gotoh Taijirou, Namiki Mizuho
Department of Critical Care and Emergency Medicine Tokyo Women's Medical University Tokyo Japan.
Acute Med Surg. 2014 Nov 21;2(3):202-206. doi: 10.1002/ams2.93. eCollection 2015 Jul.
We investigated the usefulness of multidetector computed tomography during examination in the emergency department to detect the location of press-through packages that had been inadvertently swallowed. In three patients, four press-through packages were detected on multi-planar reconstruction of multidetector computed tomography images, with three lodged in the esophagus and one in the stomach.
The multidetector computed tomography detection rate of press-through packages was 100% in patients who realized they had swallowed the packages by mistake. After diagnosis, press-through packages in the esophagus were immediately removed endoscopically.
There are few reports on the usefulness of multi-planar reconstruction images by multidetector computed tomography during examinations in the emergency department for the diagnosis of foreign bodies in patients who have mistakenly swallowed press-through packages. Detecting the location of the packages provided useful information regarding the strategy for their removal. Therefore, proactive multidetector computed tomography use in the emergency department could be beneficial for patients who have inadvertently swallowed press-through packages.
我们研究了在急诊科检查期间使用多排螺旋计算机断层扫描来检测意外吞食的按压式包装的位置的有效性。在三名患者中，通过多排螺旋计算机断层扫描图像的多平面重建检测到了四个按压式包装，其中三个卡在食管中，一个在胃中。
在意识到误吞了按压式包装的患者中，多排螺旋计算机断层扫描对按压式包装的检测率为100%。诊断后，食管中的按压式包装立即通过内镜取出。
关于在急诊科检查期间使用多排螺旋计算机断层扫描的多平面重建图像来诊断误吞按压式包装的患者体内异物的有效性的报道很少。检测包装的位置为其取出策略提供了有用信息。因此，在急诊科主动使用多排螺旋计算机断层扫描可能对意外吞食按压式包装的患者有益。
