Dallal H J, Odum J, Ahluwalia N K
Department of Medicine (Section of Gastroenterology), Royal Wolverhampton Hospitals NHS Trust, New Cross Hospital, UK.
Dysphagia. 1996 Summer;11(3):194-7. doi: 10.1007/BF00366385.
Mentally handicapped patients with esophageal pathology may present a diagnostic challenge, as they may not complain of any specific symptoms or be able to give a clear history of either dysphagia or odynophagia. This paper reports 2 such patients who recently presented to the Royal Wolverhampton Hospitals. In the first case, upper gastrointestinal endoscopy under general anesthesia enabled both the identification and removal of a large esophageal foreign body. In the second case, repeated upper gastrointestinal endoscopy facilitated both the identification and nonsurgical management of a paraesophageal abscess.
患有食管疾病的智力障碍患者可能会带来诊断难题，因为他们可能不会诉说任何特定症状，或者无法清晰描述吞咽困难或吞咽痛的病史。本文报告了最近在皇家伍尔弗汉普顿医院就诊的2例此类患者。在第一例中，全身麻醉下的上消化道内镜检查既实现了对一枚巨大食管异物的识别，又完成了异物取出。在第二例中，反复进行的上消化道内镜检查有助于对食管旁脓肿进行识别和非手术治疗。
