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下咽罕见异物：一例报告

Uncommon foreign body in the hypopharynx: A case report.

作者信息

Chen Guowei, Luo Yizhen, Pan Hongguang, Teng Yishu, Liang Zhenjiang, Li Lan

机构信息

Department of Otolaryngology Department of Radiology, Shenzhen Children's Hospital, Shenzhen, Guangdong, China.

出版信息

Medicine (Baltimore). 2018 Jun;97(26):e11242. doi: 10.1097/MD.0000000000011242.

DOI:10.1097/MD.0000000000011242
PMID:29952988
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6039681/
Abstract

RATIONALE

Pharyngeal foreign bodies are a common complaint in emergent cases, and sometimes can be lethal. A large variety of foreign bodies may lodge in the pharynx. We present a case of uncommon foreign body in the hypopharynx.

PATIENT CONCERNS

A 9-month-old boy presented for an hour of crying associated with having congee. No abnormality was revealed in physical examination or cervicothoracic computed tomography (CT) scan. Flexible laryngoscopy showed a size tag on the posterior hypopharyngeal wall.

DIAGNOSES

Foreign body in the hypopharynx.

INTERVENTIONS

The foreign body was removed from the hypopharynx.

OUTCOMES

The patient was discharged after the removal of the foreign body.

LESSONS

Infants with foreign bodies in the hypopharynx may presented with no obvious clinical manifestation. Pharyngeal foreign bodies may be the potential for disastrous consequences. Otolaryngologists should pay attention to these foreign bodies.

摘要

原理

咽部异物是急诊常见病症，有时可能致命。多种异物可能嵌顿于咽部。我们报告一例下咽罕见异物病例。

患者情况

一名9个月大男孩因进食粥后哭闹1小时前来就诊。体格检查及颈胸部计算机断层扫描（CT）均未发现异常。纤维喉镜检查显示下咽后壁有一个尺码标签。

诊断

下咽异物。

干预措施

异物从下咽取出。

结果

异物取出后患者出院。

经验教训

下咽有异物的婴儿可能无明显临床表现。咽部异物可能导致灾难性后果。耳鼻喉科医生应关注这些异物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f27/6039681/ffa4f8696fb8/medi-97-e11242-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f27/6039681/dc69bf04195f/medi-97-e11242-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f27/6039681/b188a204a55f/medi-97-e11242-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f27/6039681/ffa4f8696fb8/medi-97-e11242-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f27/6039681/dc69bf04195f/medi-97-e11242-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f27/6039681/b188a204a55f/medi-97-e11242-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f27/6039681/ffa4f8696fb8/medi-97-e11242-g003.jpg

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Pencil in the pharynx: Case report of a penetrating foreign body.咽部铅笔：一例异物穿透伤病例报告
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