支气管外体阻塞性肺炎:一个病例报告
Hitomi Tanaka1, Takatoshi Anno1, Haruka Takenouchi1
1Department of General Internal Medicine 1, Kawasaki Medical School, Okayama, 700-8505, Japan.
Heliyon
|November 3, 2023
概括
老年患者可能会因为罕见的支气管外体 (如鱼骨) 而出现持续性咳. 早期诊断至关重要,特别是在具有特定饮食习惯的人群中.
科学领域:
- 医学 医学 医学 医学 医学
- 肺部病理学 肺部病理学
- 案例报告案例报告
背景情况:
- 气道外体主要影响儿童和老年人.
- 成年人,特别是老年人的支气管外体不常见,可能会出现微妙的症状.
- 持续咳可能是一个误导性的症状,需要彻底评估病史.
研究的目的:
- 报告一位老年患者患有鱼骨外体引起的阻塞性肺炎病例.
- 突出考虑支气管外体在老年人持续咳的差异诊断中的重要性,特别是在特定的文化背景下.
主要方法:
- 一个老年日本人的案例介绍,他有着长期咳的病史.
- 诊断评估,包括病史和隐含的临床评估,用于阻塞性肺炎和异物吸收.
主要成果:
- 一位老年患者出现了阻塞性肺炎,这种肺炎归因于鱼骨入了支气管.
- 患者有长期咳病史,最初错误地将其归因于其他原因.
结论:
- 在老年患者患有持续咳时,应考虑吸入鱼骨,特别是在鱼类消费率高的人群中.
- 对于诊断老年人罕见的支气管外体来说,彻底的医疗咨询和高的怀疑指数至关重要,以防止像阻塞性肺炎这样的并发症.
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