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成人一排义齿误吸:病例报告。

Aspiration of a Row of Artificial Dentures in an Adult: A Case Report.

机构信息

Department of Ear, Nose, Throat- Head and Neck Surgery, Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal.

Department of Anesthesiology, Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal.

出版信息

JNMA J Nepal Med Assoc. 2022 Apr 15;60(248):410-412. doi: 10.31729/jnma.7314.

DOI:10.31729/jnma.7314
PMID:35633218
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9252251/
Abstract

UNLABELLED

Clinical findings of foreign body aspiration, generally, are subtle. Scrutinous clinical suspicion is always recommended. Here, we present a rare case of an adult male, who under the influence of alcohol had aspirated a row of his artificial denture without his conscience of where his denture got missing and presented to our outpatient department with non-specific symptoms. With clinical examination and advanced diagnostics, he was successfully managed with rigid bronchoscopy. With the advancement in diagnostic techniques and our widened knowledge of the condition, utmost early detection has been possible and our case report reinforces the need for a low threshold for foreign body aspiration suspicion, especially in adults with dentures, and the use of rigid bronchoscopy as a plausible tool for the prompt management of the aspiration.

KEYWORDS

bronchoscopy; case reports; dentures; foreign bodies.

摘要

不具名:异物吸入的临床特征通常较为隐匿,因此始终建议保持高度警惕的临床怀疑态度。在此,我们报告了 1 例罕见的成年男性病例,该患者在醉酒状态下无意识地吸入了一排义齿,随后因非特异性症状就诊于我院门诊。通过临床检查和先进的诊断技术,我们成功地使用硬质支气管镜对其进行了治疗。随着诊断技术的进步和我们对该病认识的拓宽,异物吸入的早期检测已成为可能,本病例报告进一步证实了对外物吸入的高度怀疑的必要性,特别是对于戴义齿的成年人,以及硬质支气管镜作为及时处理吸入物的合理工具的应用。

关键词:支气管镜检查;病例报告;义齿;异物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0fe7/9252251/61ce09a9a344/JNMA-60-248-410-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0fe7/9252251/45e3a2615d6b/JNMA-60-248-410-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0fe7/9252251/61ce09a9a344/JNMA-60-248-410-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0fe7/9252251/45e3a2615d6b/JNMA-60-248-410-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0fe7/9252251/61ce09a9a344/JNMA-60-248-410-g2.jpg

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本文引用的文献

1
Rigid Bronchoscopy in Airway Foreign Bodies: Value of the Clinical and Radiological Signs.硬质支气管镜检查在气道异物中的应用:临床及影像学征象的价值
Int Arch Otorhinolaryngol. 2016 Jul;20(3):196-201. doi: 10.1055/s-0036-1584293. Epub 2016 May 30.
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Usefulness Of Glucocorticoids In The Management Of Foreign Body Aspiration.糖皮质激素在异物吸入管理中的作用
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Foreign Body Inhalation in the Adult Population: Experience of 25,998 Bronchoscopies and Systematic Review of the Literature.
成人异物吸入:25998例支气管镜检查经验及文献系统评价
Respir Care. 2015 Oct;60(10):1438-48. doi: 10.4187/respcare.03976. Epub 2015 May 12.
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Foreign body aspiration in adults and in children: advantages and consequences of a dedicated protocol in our 30-year experience.成人和儿童的异物吸入:基于我们30年经验的专门方案的优势与后果
J Bronchology Interv Pulmonol. 2013 Oct;20(4):313-21. doi: 10.1097/LBR.0000000000000024.
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Denture aspiration within trachea during seizure.癫痫发作期间假牙误吸入气管。
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Adult airway foreign body removal. What's new?成人气道异物取出术。有什么新进展?
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A life-saving maneuver to prevent food-choking.一种预防食物窒息的救命手法。
JAMA. 1975 Oct 27;234(4):398-401.