草的意外自发吐:一个案例报告
Jacob A Alaniz1, Peyton Armstrong1, Alexander Bosley2
1John Sealy School of Medicine, University of Texas Medical Branch, Galveston, TX, USA.
SAGE open medical case reports
|August 26, 2024
概括
成人异物吸收不常见,难以诊断,特别是没有明确的病史. 保持怀疑对于不清楚症状或对治疗不反应的患者至关重要.
科学领域:
- 肺部病理学 肺部病理学
- 胸部外科手术 胸部外科手术
- 紧急医疗 紧急医疗
背景情况:
- 成年人对外体的渴望是一个罕见的现象,占所有对外体的渴望的15%-25%.
- 在成年人中,由于非特异性症状和缺乏召回的吸收事件,诊断往往会延迟.
- 外体吸收可能会导致严重的并发症,如胸腔.
研究的目的:
- 为了突出成年人异物吸收的诊断挑战.
- 强调在具有有限历史或放射性证据的病例中临床怀疑的重要性.
- 在患有慢性阻塞性肺部疾病的成年人中呈现一种草吸入导致胸腔的病例.
主要方法:
- 一个63岁的男性患有慢性阻塞性肺病的病例报告.
- 详细的病史,临床表现和诊断工作.
- 关于成年人异体吸收的相关文献的审查.
主要成果:
- 患者呈现左侧胸腔,后来被确定是由于吸入的草造成的.
- 患者没有回忆起吸收事件.
- 由于缺乏放射性发现和其他同时出现的医疗问题,诊断变得复杂.
结论:
- 应保持对异物吸收的临床怀疑,即使具有最小的历史或放射性证据.
- 这在经历长时间住院或治疗失败的患者中尤为重要.
- 早期诊断和干预至关重要,以防止外体吸收引起的严重并发症.
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