Handler S D, Beaugard M E, Canalis R F, Fee W E
Chest. 1981 Aug;80(2):234-7. doi: 10.1378/chest.80.2.234.
Esophageal foreign bodies rarely cause respiratory distress in adults. While it is well known that upper airway obstruction can occur with esophageal foreign bodies in children, the otorlaryngologic literature mentions little of this problem in older patients. Two adults with airway obstruction from unsuspected esophageal foreign bodies are described, with emphasis on the problems of diagnosis and management. The possibility of an unsuspected esophageal foreign body should be kept in mind during the evaluation of respiratory distress in an adult, especially in one who is a poor historian or has a history of a psychiatric disorder. Early endoscopic removal in the treatment of choice, although esophagotomy may be required.
食管异物在成人中很少引起呼吸窘迫。虽然众所周知儿童食管异物可导致上呼吸道梗阻，但耳鼻喉科文献很少提及老年患者的这一问题。本文描述了两名因未被怀疑的食管异物导致气道梗阻的成人患者，重点阐述了诊断和处理问题。在评估成人呼吸窘迫时，尤其是病史不清或有精神疾病史的患者，应考虑到存在未被怀疑的食管异物的可能性。治疗的首选方法是早期内镜取出，尽管可能需要进行食管切开术。
