喉蛭致咯血 1 例罕见报告
A Rare Case of Hemoptysis Caused by a Laryngeal Leech.
机构信息
Department of Otorhinolaryngology-Head and Neck Surgery, "G. Papanikolaou" General Hospital, Thessaloniki, Greece.
2nd Academic Department of Otorhinolaryngology-Head and Neck Surgery, Papageorgiou Hospital, Aristotle University of Thessaloniki, Greece.
出版信息
Ear Nose Throat J. 2023 May;102(5):NP249-NP251. doi: 10.1177/01455613211000804. Epub 2021 Mar 26.
The larynx is an uncommon location for live foreign bodies. The leech can reach the glottis during consumption of contaminated water but is usually expelled by an effective cough reflex. Patients present with hoarseness and dysphagia and occasionally with dyspnea or hemoptysis. Endoscopically, a mobile mass is usually noted in the supraglottic area. We present a rare case of a laryngeal leech in a 62-year-old-male farmer who lives in a rural area. The leech was removed successfully with direct laryngoscopy under general anesthesia.
喉是活体异物的罕见部位。水蛭在饮用受污染的水时可到达声门，但通常会被有效的咳嗽反射排出。患者表现为声音嘶哑和吞咽困难，偶尔伴有呼吸困难或咯血。内镜下，通常在会厌上区可见到可移动的肿块。我们报告了一例罕见的 62 岁男性农民喉水蛭病例，该农民居住在农村地区。在全身麻醉下直接喉镜下成功取出了水蛭。
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