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耳鼻咽喉异物

Foreign Bodies of the Ear, Nose and Throat.

作者信息

Oyama Leslie C

机构信息

Department of Emergency Medicine, UC San Diego, 200 West Arbor Drive, MC 8676, San Diego, CA 92103-8676, USA.

出版信息

Emerg Med Clin North Am. 2019 Feb;37(1):121-130. doi: 10.1016/j.emc.2018.09.009.

Abstract

Foreign bodies to the ear, nose, and throat often can be managed in the emergency department, particularly if the patient offers a history consistent with foreign body and is calm and compliant with the examination and removal attempts. Tips for success include analgesia, adequate visualization, immobilization of the patient's head, dexterity and experience level of the provider, and minimizing attempts at removal. It is critical to recognize the risks involved with certain retained objects (button batteries or sharp objects) and when to call a consultant to help facilitate safe, successful removal of objects to the ear, nose, and throat.

摘要

耳部、鼻部和喉部的异物通常可在急诊科进行处理,尤其是当患者提供与异物相符的病史且冷静配合检查及取出尝试时。成功的技巧包括镇痛、充分的可视化、固定患者头部、医护人员的灵活性和经验水平,以及尽量减少取出尝试次数。认识到某些留存物体(纽扣电池或尖锐物体)所涉及的风险以及何时呼叫会诊医生以协助安全、成功地取出耳部、鼻部和喉部的异物至关重要。

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