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一例凸显硅胶制品并非总是无害的病例报告。

A Case Report Highlighting That Silica Gel Products Are Not Always Benign.

作者信息

Lassiter Nolan, Yang Nhia, Tiyyagura Lakshma, Whitlow K Scott

机构信息

Touro University - California - College of Osteopathic Medicine, Vallejo, California.

Sacramento City College, Stockton, California.

出版信息

Clin Pract Cases Emerg Med. 2020 Nov;4(4):576-579. doi: 10.5811/cpcem.2020.7.47673.

Abstract

INTRODUCTION

Silica gel packets are commonly used desiccants for medication products; these packets generally only pose a choking risk in young children. However, new cylindrical desiccant canisters have been developed, which may increase the risk for obstruction in adults.

CASE REPORT

An elderly male presented to the emergency department complaining of difficulty swallowing after taking his morning medications. Through a diligent work-up a desiccant canister was found lodged in the lower esophageal sphincter. The patient was endotracheally intubated and a Roth Net retriever was used to remove the canister.

CONCLUSION

Cylindrical desiccant canisters pose an increased risk of esophageal obstruction.

摘要

引言

硅胶包是药品常用的干燥剂;这些硅胶包一般仅对幼儿有窒息风险。然而,新型圆柱形干燥剂罐已研制出来,这可能会增加成年人发生梗阻的风险。

病例报告

一名老年男性因早晨服药后吞咽困难到急诊科就诊。经过仔细检查,发现一个干燥剂罐卡在食管下括约肌处。患者接受了气管插管,并使用罗思网回收器取出了罐子。

结论

圆柱形干燥剂罐导致食管梗阻的风险增加。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b34/7676770/a926573e8e91/cpcem-04-576-g001.jpg

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