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慢性咳嗽与呼吸杂音：长达11年的诊断与成功治疗历程

Chronic cough and noisy breathing: An 11-year journey to diagnosis and successful treatment.

作者信息

M Moledina Sibtain, Kwiyolecha Elizabeth, Isingo Diana, Chale Pauline, Kilima Mwanaada, Mwapule Luth, Masao Alex, Tarimo Jude, Chuwa Godfrey, Duttu Joseph, Nsato Sylvia B, Liseki Evans, Shayo Grace, Swai Hedwiga F

机构信息

Muhimbili University of Health and Allied Sciences, Dar es Salaam 65001, Tanzania.

Department of Internal Medicine, Muhimbili National Hospital, Dar es Salaam 65000, Tanzania.

出版信息

Radiol Case Rep. 2024 Aug 2;19(10):4493-4496. doi: 10.1016/j.radcr.2024.07.019. eCollection 2024 Oct.

DOI:10.1016/j.radcr.2024.07.019
PMID:39188624
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11345125/
Abstract

Foreign body aspiration in an uncommon entity in adults which often leads to delays in diagnosis. Adults with long-standing foreign bodies in the airway can result in various complications including bronchiectasis, atelectasis and lung fibrosis. We describe the case of a primary school teacher who was diagnosed with foreign body aspiration 11 years after the aspiration event. Delays in diagnosis led to her receiving multiple doses of antibiotics including a course of antituberculous therapy.

摘要

成人气道异物吸入是一种不常见的情况，常常导致诊断延误。气道中长期存在异物的成人可能会引发各种并发症，包括支气管扩张、肺不张和肺纤维化。我们描述了一名小学教师的病例，她在异物吸入事件发生11年后才被诊断出气道异物吸入。诊断延误导致她接受了多剂抗生素治疗，包括一个疗程的抗结核治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c54/11345125/88ad3f9f0eb7/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c54/11345125/1a796023e85c/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c54/11345125/6f0fb41f5fa2/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c54/11345125/902e82c2a8e7/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c54/11345125/36d077761e04/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c54/11345125/88ad3f9f0eb7/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c54/11345125/1a796023e85c/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c54/11345125/6f0fb41f5fa2/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c54/11345125/902e82c2a8e7/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c54/11345125/36d077761e04/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c54/11345125/88ad3f9f0eb7/gr5.jpg

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本文引用的文献

1
Coin Aspiration Presenting as Chronic Cough and Tracheoesophageal Fistula.以慢性咳嗽和气管食管瘘为表现的硬币误吸
Cureus. 2023 Dec 10;15(12):e50283. doi: 10.7759/cureus.50283. eCollection 2023 Dec.
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Principal diagnostic features of paediatric foreign body aspiration.小儿异物吸入的主要诊断特征。
Int J Pediatr Otorhinolaryngol. 2024 Feb;177:111846. doi: 10.1016/j.ijporl.2023.111846. Epub 2023 Dec 31.
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Comparison of rigid bronchoscopy and flexible bronchoscopy for the management of foreign body aspiration in children.
硬质支气管镜与软式支气管镜在小儿异物吸入处理中的比较。
Am J Otolaryngol. 2024 Mar-Apr;45(2):104092. doi: 10.1016/j.amjoto.2023.104092. Epub 2023 Oct 31.
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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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The clinical features of foreign body aspiration into the lower airway in geriatric patients.老年患者下呼吸道异物吸入的临床特征
Clin Interv Aging. 2014 Sep 24;9:1613-8. doi: 10.2147/CIA.S70924. eCollection 2014.
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Foreign-body aspiration in the adult: presentation and management.成人异物吸入：临床表现和处理。
Can Respir J. 2013 Nov-Dec;20(6):e98-9. doi: 10.1155/2013/754121. Epub 2013 Oct 17.
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Removal of tracheobronchial foreign bodies in adults using a flexible bronchoscope: experience with 200 cases in China.成人使用可弯曲支气管镜清除气管支气管异物：中国200例经验
Intern Med. 2012;51(18):2515-9. doi: 10.2169/internalmedicine.51.7672. Epub 2012 Sep 15.
8
Prevalence of flexible bronchoscopic removal of foreign bodies in the advanced elderly.高龄老年人中经可弯曲支气管镜取出异物的患病率
Age Ageing. 2009 Jul;38(4):396-400. doi: 10.1093/ageing/afp044. Epub 2009 Apr 28.
9
Foreign body aspiration: clinical utility of flexible bronchoscopy.异物吸入：可弯曲支气管镜检查的临床应用价值
Postgrad Med J. 2002 Jul;78(921):399-403. doi: 10.1136/pmj.78.921.399.
10
Adult airway foreign body removal. What's new?成人气道异物取出术。有什么新进展？
Clin Chest Med. 2001 Jun;22(2):319-30. doi: 10.1016/s0272-5231(05)70046-0.