不寻常的外体摄入:鱼骨还是瓶盖?
Sandhu Gurveen1, Jennifer Chew1, Gloria S Kim1
1Internal Medicine, University of California Los Angeles, Los Angeles, USA.
Cureus
|October 27, 2025
概括
一个金属瓶盖进食道,在一个成年男性中引起了严重的吞疼痛. 成功去除需要多学科干预,强调迅速管理外体摄入.
科学领域:
- 医学 医学 医学 医学 医学
- 胃肠病学 胃肠病学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 摄入外体在成年人中很少发生,但具有重大风险.
- 急性吞痛 (痛性吞) 可能表明食道阻塞.
研究的目的:
- 报告一个成年人吞下金属瓶盖的病例.
- 突出食道外体的诊断和管理挑战.
主要方法:
- 一个55岁的男性在饮酒后患有急性耳鼻.
- 诊断成像 (射线图) 来识别食道外体.
- 进行内镜检索尝试,然后在全身麻醉下进行联合手术干预.
主要成果:
- 一个金属瓶盖被进了靠近的食道.
- 最初的内镜检索没有成功,需要一种综合方法.
- 成功地去除了外体,只有表面的食道.
- 患者在支持性护理下完全康复.
结论:
- 成年人摄入外体需要高度的怀疑指数.
- 早期成像和多学科合作对于成功管理至关重要.
- 即使在复杂的案件中,迅速的干预也可以带来有利的结果.
相关概念视频
Phagocytosis
7.7K
Cells pull particles inward and engulf them in spherical vesicles in an energy-requiring process called endocytosis. Phagocytosis ("cellular eating") is one of three major types of endocytosis. Cells use phagocytosis to take in large objects, such as other cells (or their debris), bacteria, and even viruses.
The objective of phagocytosis is often destruction. Cells use phagocytosis to eliminate unwelcome visitors, like pathogens (e.g., viruses and bacteria). Many immune system cells,...
The objective of phagocytosis is often destruction. Cells use phagocytosis to eliminate unwelcome visitors, like pathogens (e.g., viruses and bacteria). Many immune system cells,...
7.7K
Phagocytosis
92.6K
Cells pull particles inward and engulf them in spherical vesicles in an energy-requiring process called endocytosis. Phagocytosis (“cellular eating”) is one of three major types of endocytosis. Cells use phagocytosis to take in large objects—such as other cells (or their debris), bacteria, and even viruses.
92.6K
Prevention of Further Absorption of Poison
1.2K
In cases of acute poisoning, the primary objective is to prevent further absorption of the toxic substance into the body. Immediate interventions using various decontamination techniques targeting the gastrointestinal (GI) tract can achieve this. Decontamination is crucial to prevent poison from entering the systemic circulation, which involves washing affected areas with water and mild soap and removing contaminated clothing. Once external decontamination is done, attention must be turned to...
1.2K


