Redant Dean, Mahomed Zeyn, Beringer Craig
Emergency Department, Chris Hani Baragwanath Academic Hospital, University of the Witwatersrand, Johannesburg, ZAF.
Cureus. 2020 Nov 5;12(11):e11349. doi: 10.7759/cureus.11349.
In adults, foreign body aspiration is an uncommon clinical presentation. Aspiration can occur during a seizure and in the post-ictal period due to the loss of airway reflexes. Commonly aspirated contents include saliva, blood, or vomited gastric contents. Due to a common misconception that placing an object, such as a spoon, in a seizing person's mouth prevents tongue-biting, a variety of unusual items may also potentially be aspirated. With an unclear history, relatively small, radiolucent objects are often misdiagnosed or missed entirely. Chest pain or unexplained hemoptysis may be the only symptoms to suggest aspiration. In this report, the authors present a case of a patient with an unusual foreign body aspiration.
在成人中，异物误吸是一种不常见的临床表现。由于气道反射丧失，在癫痫发作期间及发作后期都可能发生误吸。常见的误吸物包括唾液、血液或呕吐出的胃内容物。由于存在一种普遍的误解，即把诸如勺子之类的物品放入癫痫发作患者口中可防止咬伤舌头，各种不寻常的物品也可能被误吸。在病史不明确的情况下，相对较小的、可透射线的物体常常被误诊或完全漏诊。胸痛或不明原因的咯血可能是提示误吸的唯一症状。在本报告中，作者介绍了一例异物误吸情况不寻常的患者。
