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不只是胸痛:一例食管异物摄入。

More than chest pain: A case of oesophageal foreign body ingestion.

机构信息

Primary Health Care Corporation, Doha.

出版信息

S Afr Fam Pract (2004). 2024 Aug 14;66(1):e1-e4. doi: 10.4102/safp.v66i1.5942.

DOI:10.4102/safp.v66i1.5942
PMID:39221726
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11369581/
Abstract

BACKGROUND

Physicians often focus on possible cardiac causes in patients presenting with chest pain. However, this case highlights a patient who presented with chest pain caused by ingestion of a foreign body after an uneventful meal eaten an hour prior to presentation. The fishbone was discovered after imaging. The article aims to raise awareness regarding the potential origins of chest pain, highlighting that it may stem from non-cardiac conditions.

METHODS

The methodology employed in this study involved conducting a case study that meticulously examined the repercussions and management strategies associated with foreign body ingestion.

RESULTS

The case report delineates the scenario of a 27-year-old male patient who inadvertently ingested a fishbone during a routine meal. It details the swift decline in clinical status, the meticulous diagnostic procedures employed, the subsequent management strategies implemented and the ultimate discharge of the patient in a stable condition.

CONCLUSION

This case highlights the importance of comprehensive history taking and considering a wide range of causes of chest pain when evaluating a patient. The foreign body ingested with the resulting cardiac complications could have been fatal if not promptly diagnosed.Contribution: This study contributed to advancing awareness surrounding foreign body ingestion, shedding light on potential complications and offering valuable insights into effective management strategies.

摘要

背景

医生在遇到胸痛的患者时,通常会专注于可能的心脏原因。然而,这个病例强调了一位患者在进餐一小时后,因摄入异物而出现胸痛。在进行影像学检查后发现了鱼骨。本文旨在提高对胸痛潜在来源的认识,强调其可能源于非心脏疾病。

方法

本研究采用病例研究方法,详细检查了异物摄入相关的后果和管理策略。

结果

病例报告详细描述了一位 27 岁男性患者在常规进餐时不慎摄入鱼骨的情况。报告描述了患者临床状况迅速恶化、所采用的详细诊断程序、随后实施的管理策略以及最终患者稳定出院的情况。

结论

本病例强调了在评估患者时全面询问病史和考虑胸痛的多种原因的重要性。如果未能及时诊断,该患者摄入的异物及其导致的心脏并发症可能是致命的。

贡献

本研究有助于提高对外物摄入的认识,揭示潜在并发症,并为有效的管理策略提供有价值的见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97e7/11369581/e83203b466f2/SAFP-66-5942-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97e7/11369581/d7dc0a67c945/SAFP-66-5942-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97e7/11369581/e83203b466f2/SAFP-66-5942-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97e7/11369581/d7dc0a67c945/SAFP-66-5942-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97e7/11369581/e83203b466f2/SAFP-66-5942-g002.jpg

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The patient's first point of contact (PINPOINT) - protocol of a prospective multicenter study of communication and decision-making during patient assessments by primary care registered nurses.患者的第一联系点(PINPOINT)- 一项前瞻性多中心研究的方案,该研究旨在调查初级保健注册护士在患者评估期间的沟通和决策情况。
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Safe endoscopic removal of ingested fish bone with esophageal perforation and impingement on the aortic wall.安全地通过内镜取出嵌顿于主动脉壁并导致食管穿孔的误吞鱼骨。
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Diagnosis and risk stratification of chest pain patients in the emergency department: focus on acute coronary syndromes. A position paper of the Acute Cardiovascular Care Association.急诊科胸痛患者的诊断和风险分层:重点关注急性冠状动脉综合征。急性心血管护理协会的立场文件。
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