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一名儿童声门上异物漏诊1个月

Supraglottic Foreign Body Missed for One Month in a Child.

作者信息

Sultan Abdul Kader Mohamed Iliyas, Syafeera Nadia, Md Nor Khadijah, Abu Bakar Saraiza, Mat Baki Marina

机构信息

Department of Otorhinolaryngology-Head and Neck Surgery, Hospital Melaka, Melaka, MYS.

Department of Otorhinolaryngology-Head and Neck Surgery, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, MYS.

出版信息

Cureus. 2023 Jan 17;15(1):e33870. doi: 10.7759/cureus.33870. eCollection 2023 Jan.

Abstract

Foreign body (FB) aspiration in children can result in serious complications that can lead to even death. We present a case of a one-year-old girl child with a history of choking one month prior while she was feeding. A bolus of rice was removed at a local clinic. Consequently, within 24 hours, she developed hoarseness and noisy breathing which was treated as an upper respiratory tract infection at two different clinics. This case report aims to highlight the need for otolaryngology consultation in a child with non-resolving respiratory symptoms following episodes of choking. This will prompt an immediate surgical intervention that could prevent potential morbidity and mortality as a result of a compromised airway.

摘要

儿童异物吸入可导致严重并发症,甚至可能致死。我们报告一例一岁女童病例,该女童1个月前喂食时曾发生呛噎。在当地诊所取出了一团米饭。此后,在24小时内,她出现声音嘶哑和呼吸有杂音的症状,在两家不同诊所均被当作上呼吸道感染治疗。本病例报告旨在强调,对于呛噎后呼吸道症状未缓解的儿童,有必要咨询耳鼻喉科医生。这将促使立即进行手术干预,从而预防因气道受损导致的潜在发病和死亡情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d0a/9933417/16ba187812dd/cureus-0015-00000033870-i01.jpg

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