Lamminmäki Satu, Sinkkonen Saku T, Atula Timo
Head and Neck Center, Otorhinolaryngology, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.
BMJ Case Rep. 2018 Jul 24;2018:bcr-2017-224021. doi: 10.1136/bcr-2017-224021.
Foreign bodies cause a remarkable number of otolaryngological emergency visits and occasionally result in life-threatening conditions and later-emerging complications. Patient recovery depends on the detection and proper extraction of all foreign materials. Despite various obtainable diagnostic tools, adequate anamnesis forms the basis of clinical reasoning and should direct later examinations and radiological imaging. This case report describes a challenging patient with a unique trauma mechanism: many pieces of a fragmented organic foreign body emerged within 1 year of the initial injury, leading to repeated operations, a long period in an intensive care unit and a long-term swallowing and speech dysfunction.
异物导致大量耳鼻喉科急诊就诊，偶尔会导致危及生命的状况和后期出现的并发症。患者的康复取决于所有异物的检测和正确取出。尽管有各种可获得的诊断工具，但充分的病史采集仍是临床推理的基础，并应指导后续检查和影像学检查。本病例报告描述了一名具有独特创伤机制的具有挑战性的患者：在初次受伤后1年内出现了许多破碎的有机异物碎片，导致反复手术、在重症监护病房长时间住院以及长期吞咽和言语功能障碍。
