Heiss N M, Baker K G, Martin F A, Bredfeldt R C
Northwest Arkansas Family Practice Residency, University of Arkansas for Medical Sciences, Fayetteville 72703, USA.
J Fam Pract. 1995 Nov;41(5):489-91.
A case report is presented of a 10-month-old child with a 1-month history of respiratory symptoms, followed by 3 to 4 days of fever, progressing to poor feeding, vomiting, and weight loss. The child is cared for by his mentally disabled young parents. A chest radiograph revealed a metallic foreign body obstructing the proximal esophagus. Esophagoscopy and removal of a penny resulted in immediate resolution of the acute gastrointestinal symptoms; the respiratory symptoms resolved shortly thereafter. Diagnostic and therapeutic considerations in the management of pediatric aerodigestive foreign bodies are discussed. High-risk parenting, such as in this case, is a risk factor for pediatric foreign-body ingestion.
本文报告了一例10个月大的儿童病例，该儿童有1个月的呼吸道症状病史，随后出现3至4天的发热，进而发展为喂养困难、呕吐和体重减轻。该儿童由其患有精神残疾的年轻父母照料。胸部X线片显示一枚金属异物阻塞了食管近端。食管镜检查并取出一枚硬币后，急性胃肠道症状立即得到缓解；呼吸道症状随后不久也得到缓解。本文讨论了小儿气消化道异物处理中的诊断和治疗要点。像本病例中的高危育儿情况，是小儿异物摄入的一个危险因素。
