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持续18年的支气管异物:撒哈拉以南非洲喀麦隆的一例病例报告

Eighteen years lasting bronchial foreign body: A case report in Cameroon, sub-Sahara Africa.

作者信息

Fola Olivier Kopong, Sango Joseph, Ngatchou William

机构信息

Department of Surgery, Douala General Hospital, Teaching Hospital, PO BOX 4856, Douala, Cameroon.

Department of Surgery, Douala General Hospital, Teaching Hospital, PO BOX 4856, Douala, Cameroon; Department of Surgery and Subspecialties, Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Douala, Cameroon.

出版信息

Int J Surg Case Rep. 2021 Feb;79:281-285. doi: 10.1016/j.ijscr.2020.12.022. Epub 2020 Dec 16.

Abstract

INTRODUCTION

Foreign body aspiration represents an important cause of morbidity and mortality during childhood. A neglected aspirated foreign body can last for years, leading to complications that are sometimes difficult to manage, dramatically affecting the quality of life of the patient.

CASE REPORT

We report the case of a 29-year-old female who presented with eighteen-year history of recurrent cough, choking, and respiratory infections following a foreign body aspiration. The course was complicated by a chronic secondary lung abscess, successfully managed by combined medical and surgical treatment.

DISCUSSION

In low-income countries like ours, foreign body aspiration is often misdiagnosed. The often delayed management due to low socioeconomic status can lead to serious complications. To the best of our knowledge, it is the longest period of bronchial foreign body retention reported in the medical literature in Africa.

CONCLUSION

Foreign body aspiration is common in childhood and requires early recognition and treatment, in order to avoid complications that can be very serious or even fatal.

摘要

引言

异物吸入是儿童发病和死亡的一个重要原因。被忽视的吸入性异物可能会持续数年,导致有时难以处理的并发症,极大地影响患者的生活质量。

病例报告

我们报告一例29岁女性病例,该患者在异物吸入后有18年反复咳嗽、呛噎及呼吸道感染病史。病程因慢性继发性肺脓肿而复杂化,通过药物和手术联合治疗成功治愈。

讨论

在我们这样的低收入国家,异物吸入常常被误诊。由于社会经济地位低下,治疗往往延迟,这可能导致严重并发症。据我们所知,这是非洲医学文献中报道的支气管异物存留最长的病例。

结论

异物吸入在儿童中很常见,需要早期识别和治疗,以避免可能非常严重甚至致命的并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32dd/7829115/7c0a98994948/gr1.jpg

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