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吞食剃须刀片,一种罕见事件:一例精神病患者的病例报告

Ingestion of razor blades, a rare event: a case report in a psychiatric patient.

作者信息

Delgado Salazar Jhony Alejandro, Naveda Pacheco Natalia Carolina, Palacios Jaramillo Paola Alexandra, Garzón Yépez Santiago Danilo, Medina Loza Victor Rafael, Romero Alvarado Carlos Alberto, Aguilar Ayala Bernabé Esteban, Molina Gabriel Alejandro

机构信息

PGY4 Surgery Resident at PUCE, Quito, Ecuador.

PGY2 Surgical Resident at PUCE, Quito, Ecuador.

出版信息

J Surg Case Rep. 2020 May 23;2020(5):rjaa094. doi: 10.1093/jscr/rjaa094. eCollection 2020 May.

Abstract

Foreign body ingestion is a common condition in clinical practice, thankfully most of the cases do not require any surgery as most foreign bodies can pass through the bowel without injuring it. Treatment depends on the size and kind of foreign bodies. When complications arise, patients may require urgent medical attention. Self-harm by sharp foreign body ingestion is a rare event that must always be promptly treated and should always be prevented. Psychiatric patients and inmates are the most affected population. A high index of suspicion is required to treat this rare condition, which may be preventable if there is adequate mental and medical therapy along with close monitoring and family support. We present the case of a 31-year-old psychiatric patient. After prompt treatment, two razor blades were surgically removed from her intestines. She fully recovered and is doing well on follow-up controls.

摘要

异物摄入是临床实践中的常见情况,所幸大多数病例无需手术,因为大多数异物可通过肠道而不造成损伤。治疗取决于异物的大小和种类。出现并发症时,患者可能需要紧急医疗护理。吞食尖锐异物导致的自残是罕见事件,必须始终迅速治疗并应始终加以预防。精神病患者和囚犯是受影响最大的人群。治疗这种罕见病症需要高度的怀疑指数,如果有足够的心理和药物治疗以及密切监测和家庭支持,这种情况可能是可预防的。我们介绍一例31岁精神病患者的病例。经过及时治疗,从她的肠道中手术取出了两片剃须刀片。她已完全康复,随访检查情况良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/945e/7246334/990b27042ae1/rjaa094f1.jpg

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