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丁香茎吸入:慢性咳的一个不寻常的原因
M S Barthwal1, Sachinkumar Dole2, R M Manjush3
1Professor & Head (Respiratory Medicine), Dr DY Patil Medical College, Hospital & Research Centre, Pimpri, Pune, India.
异物吸收,就像一根针叶茎一样,可以导致成年人持续的慢性咳,当其他条件存在时,通常会被忽视. 在这种情况下,通过支气管镜检查和切除的快速诊断导致了症状的快速消失.
科学领域:
- 肺部病理学 肺部病理学
- 胃肠病学 胃肠病学
背景情况:
- 外体吸收是成年人慢性咳的一个不常见的原因.
- 它可能被误诊或被忽视,特别是当同时存在的呼吸道或胃肠道疾病存在并且对治疗没有反应时.
研究的目的:
- 报告一种罕见的慢性咳病例,由外体吸入引起.
- 为了突出诊断挑战和成功管理一个不寻常的外体.
主要方法:
- 评估了一名72岁的男性,患有过敏性鼻炎,有6个月的咳史,对各种疗法没有反应.
- 进行了高分辨率计算机断层扫描 (HRCT),随后进行光纤支气管镜检查.
主要成果:
- 在HRCT扫描中,没有什么显著的.
- 光纤支气管镜检查发现了在右下叶的针叶茎外体.
- 移除异物导致症状迅速消失.
结论:
- 爪茎吸入是成年人慢性咳的极为罕见原因.
- 光纤支气管检查对于诊断和治疗初始治疗失败的病例至关重要.
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