“直立姿势、收下巴、两次吞咽”手法成功处理食物团块嵌塞所致食管梗阻：一例报告
Esophageal Obstruction from Food Bolus Impaction Successfully Managed with the "Upright Posture, Chin Tuck, Double Swallow" Maneuver: A Case Report.
作者信息
Barden Matthias, Schwartz Michael E
机构信息
Eisenhower Health, Emergency Medicine Residency Program, Racho Mirage, California.
Hi-Desert Medical Center, Department of Emergency Medicine, Joshua Tree, California.
出版信息
Clin Pract Cases Emerg Med. 2024 Nov;8(4):343-345. doi: 10.5811/cpcem.19397.
INTRODUCTION
An attempt at medical management is often the initial step in addressing esophageal obstruction from an impacted food bolus. Medical management, however, has limited success and often requires urgent endoscopy. We present a case in which standard medical treatment failed, but a swallowing augmentation maneuver resolved the obstruction.
CASE REPORT
A 67-year-old female presented with esophageal obstruction after eating steak. Transfer to higher level of care for endoscopy was initiated; however, the receiving gastroenterologist suggested an "upright posture, chin tuck, double swallow" maneuver. This immediately resolved the patient's symptoms, and she was discharged home.
CONCLUSION
This case suggests a novel, non-endoscopic technique for esophageal obstruction from food bolus impaction.
引言
尝试进行药物治疗通常是处理因食团嵌塞导致食管梗阻的初始步骤。然而，药物治疗的成功率有限，且常常需要紧急内镜检查。我们报告一例标准药物治疗失败，但吞咽增强动作成功解除梗阻的病例。
病例报告
一名67岁女性在进食牛排后出现食管梗阻。已安排转至更高水平的医疗机构进行内镜检查；然而，接诊的胃肠病学家建议采用“直立姿势、收下巴、两次吞咽”动作。这一动作立即缓解了患者的症状，随后她出院回家。
结论
本病例提示了一种针对食团嵌塞所致食管梗阻的新型非内镜技术。
Zotero 插件