婴儿吞食异物：需要高度怀疑。
Foreign body ingestion in an infant: A high index of suspicion is required.
作者信息
Mohamad Ishak Luqman Afiq, Khor Kee Guan, Tan Shi Nee
机构信息
Department of Otorhinolaryngology, Head and Neck Surgery, Hospital Tawau Tawau Sabah Malaysia.
Department of Otorhinolaryngology, Head and Neck Surgery KPJ University College Nilai Negeri Sembilan Malaysia.
出版信息
Pediatr Investig. 2019 Sep 26;3(3):188-190. doi: 10.1002/ped4.12149. eCollection 2019 Sep.
INTRODUCTION
The incidence of foreign body ingestion in the upper gastrointestinal tract accounts for 75%-85% of foreign body ingestions in pediatric patients.
CASE PRESENTATION
An 8-month old boy presented with vomiting and was referred to the otorhinolaryngology team based on his mother's suspicion that her child might have ingested a foreign body. Flexible laryngoscopy revealed a phone screen protector at the vallecular region. The foreign body was removed in the operating theatre.
CONCLUSION
Foreign body ingestion should always be suspected in young patients. Consideration of the patient's symptoms, level of lodgement, and type of foreign body will determine whether immediate intervention or a conservative approach is warranted.
引言
上消化道异物摄入的发生率占儿科患者异物摄入的75%-85%。
病例介绍
一名8个月大的男孩出现呕吐症状，因其母亲怀疑孩子可能摄入了异物，遂转诊至耳鼻喉科团队。纤维喉镜检查发现会厌谷区域有一块手机屏幕保护膜。该异物在手术室被取出。
结论
对于年轻患者，应始终怀疑有异物摄入。考虑患者的症状、异物嵌顿位置及异物类型，将决定是否需要立即干预或采取保守治疗方法。
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