Erren J P, Schipmann R
Klinik für Erkrankungen der Atmungsorgane, Asthma und Allergie, Marienkrankenhaus Bad Lippspringe.
Pneumologie. 1995 Nov;49(11):601-3.
Aspiration of foreign bodies is extremely rare in adults but frequent in children. Foreign bodies aspired by adults are usually immediately identified and quickly removed. This, however, was not the case with the patient under report. In a women patient of 51 years of age who had so far been completely healthy, a certainly rare endobronchial foreign body remained unidentified for eighty-six days. Even in adults one must take the possibility of foreign body aspiration into consideration whenever signs are seen such as dyspnoea, recurrent pneumonias, unproductive coughing, retrosternal pain, distant cardiac murmur if no obstructive disturbance of ventilation had already existed before, and especially if there are obstructive respiratory sounds of laterally different amplitude.
成人异物吸入极为罕见,但在儿童中却很常见。成人吸入的异物通常能立即被识别并迅速取出。然而,本报告中的患者情况并非如此。一名51岁的女性患者,此前一直完全健康,但一个肯定罕见的支气管内异物在86天内都未被识别出来。即使在成人中,只要出现诸如呼吸困难、反复肺炎、干咳、胸骨后疼痛、若此前不存在通气阻塞性障碍则出现遥远的心杂音等症状,尤其是出现双侧幅度不同的阻塞性呼吸音时,就必须考虑异物吸入的可能性。