Swibel Rosenthal Laura H, Smith-Bronstein Virginia, Cervantes Santino, Schroeder James W
Division of Pediatric Otolaryngology, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA.
Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Case Rep Pediatr. 2018 May 23;2018:4718428. doi: 10.1155/2018/4718428. eCollection 2018.
A six-year-old girl presented to an emergency room after describing choking on a rubber band. She was in no distress and was discharged. Over the course of the next 9 months, she had numerous outpatient and emergency room visits due to intermittent stridor, difficulty breathing, and hoarseness. Eventually, dedicated airway films revealed a laryngeal foreign body. During rigid bronchoscopy, a two-centimeter rubber band was discovered in the larynx. It extended from the supraglottis, through the glottis, and into the subglottis. It was successfully removed. The patient was asymptomatic 24 hours later. This case highlights the appropriate evaluation and management of a child with stridor.
一名六岁女孩在自述被橡皮筋噎住后被送往急诊室。她当时并无不适，随后出院。在接下来的9个月里，她因间歇性喘鸣、呼吸困难和声音嘶哑多次前往门诊和急诊室就诊。最终，专门的气道X光片显示有喉部异物。在硬质支气管镜检查过程中，在喉部发现了一条两厘米长的橡皮筋。它从声门上延伸至声门，并进入声门下。橡皮筋被成功取出。24小时后，患者无症状。该病例突出了对喘鸣儿童进行适当评估和处理的重要性。
