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中华危重症医学杂志(电子版) ›› 2022, Vol. 15 ›› Issue (06) : 475 -478. doi: 10.3877/cma.j.issn.1674-6880.2022.06.007

食管异物救治

食管异物致单纯性气胸一例
林丽颖1, 陆远强1,()   
  1. 1. 310003 杭州,浙江大学医学院附属第一医院急诊科
  • 收稿日期:2022-10-14 出版日期:2022-12-31
  • 通信作者: 陆远强
  • 基金资助:
    浙江省重点研发计划项目(2019C03076)

Simple pneumothorax caused by esophageal foreign bodies: a case report

Liying Lin1, Yuanqiang Lu1()   

  • Received:2022-10-14 Published:2022-12-31
  • Corresponding author: Yuanqiang Lu
引用本文:

林丽颖, 陆远强. 食管异物致单纯性气胸一例[J]. 中华危重症医学杂志(电子版), 2022, 15(06): 475-478.

Liying Lin, Yuanqiang Lu. Simple pneumothorax caused by esophageal foreign bodies: a case report[J]. Chinese Journal of Critical Care Medicine(Electronic Edition), 2022, 15(06): 475-478.

食管异物是指因难以通过食管而滞留其中的各类物体,是临床中常见的一种急症,多数因进食时注意力不集中、进食匆忙误咽或咽部感觉功能减退所致[1]。大部分患者具有明确的异物吞咽史,临床症状主要表现为吞咽困难、异物感、局部疼痛等。食管异物轻症患者无需特殊处理或早期经规范处理后可快速康复,而复杂的食管异物可直接损伤食管周围的器官组织,或继发食管溃疡穿孔,进而引起食管周围组织的致命性感染,亦有并发血栓形成、甲状腺损伤等罕见并发症的报道[2]。为提高广大临床医师对该疾病的认识和重视,现报道浙江大学医学院附属第一医院收治的一例食管异物致单纯性气胸患者。

图1 食管异物患者异物取出术前食道CT检查注:a~c图示相当于气管隆突下方水平的连续3个CT扫描平面中可见食管腔内、旁一横线条状高密度影(红圈),界清晰,食管壁增厚;d图示食管异物致右侧气胸(红色箭头)及少量胸腔积液(黄色箭头),右肺被压缩约15%
图2 食管异物患者异物取出术后肺部CT检查注:a图示原异物位置无明显食管或气道等组织内阳性异物;b图示食管异物致右侧气胸(红色箭头)及右侧胸腔积液,并见一气液平面(黄色箭头),积液量较前增多,右肺被压缩约15%
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