Department of Otorhinolaryngology, Head and Neck Surgery, Hospital Selayang, Batu Caves, Selangor, Malaysia.
Department of Otorhinolaryngology, Head and Neck Surgery, Hospital Selayang, Batu Caves, Selangor, Malaysia; Department of Otorhinolaryngology, Head and Neck Surgery, Universiti Kebangsaan Malaysia Medical Centre, Cheras, Kuala Lumpur, Malaysia.
J Emerg Med. 2021 Jul;61(1):e4-e6. doi: 10.1016/j.jemermed.2021.02.022. Epub 2021 Apr 15.
Fishbone ingestion represents a common cause for emergency department (ED) referral. In the majority of cases, an observed fishbone can be easily retrieved in the clinic setting. An impacted fishbone in the throat, albeit uncommon, carries potential risks of life-threatening events. Unusual complications caused by a migrated fishbone, including deep neck abscess, airway obstruction, and major vessels injury, are greatly influenced by the type of ingested fishbone and time between onset and presentation.
Here we report an unusual case of surgical subcutaneous emphysema after multiple attempts of purging to remove an ingested fishbone. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Fishbone foreign body is a common presentation to the ED. A thorough history and examination for the migratory foreign body is essential, as the complications are consequential.
鱼骨摄入是急诊科（ED）转诊的常见原因。在大多数情况下，在诊所环境中可以很容易地取出观察到的鱼骨。尽管不常见，但喉咙内的鱼刺嵌顿存在危及生命的潜在风险。由迁移的鱼刺引起的不常见并发症，包括深部颈脓肿、气道阻塞和大血管损伤，很大程度上受到摄入鱼刺的类型和发病与就诊之间时间的影响。
在这里，我们报告了一例罕见的手术后皮下气肿病例，该患者曾多次尝试冲洗以取出摄入的鱼刺。
为什么急诊医生应该注意这一点？：鱼骨异物是 ED 的常见表现。对于迁移性异物，详细的病史和检查至关重要，因为并发症是严重的。
