成年人食道瓶盖冲击:一个病例报告
Haibo Liu1, Guangchuan Shen2, Kun Luo1
1Department of Neurosurgery, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, China.
Medicine
|December 30, 2025
概括
慢性酒精和尼古丁使用可能会延迟食道外体冲击的症状. 这一案例凸显了吸毒成年人摄入大量非食品物品 (如瓶盖) 的风险.
科学领域:
- 胃肠病学 胃肠病学
- 毒理学 毒理学 毒理学
- 紧急医疗 紧急医疗
背景情况:
- 食道外体冲击通常与成年人的食物有关.
- 较大的非食品物体冲击是罕见的,通常与结构问题或精神状态的改变有关.
- 药物使用可能会损害保护性反射,延迟症状的出现.
研究的目的:
- 报告一个不寻常的食道外体冲击病例.
- 突出慢性乙醇-尼古丁共用在延迟症状发作的作用.
- 强调需要在使用物质的患者中高度的临床怀疑.
主要方法:
- 一个49岁的男性慢性使用乙醇-尼古丁的病例报告.
- 诊断成像 (X光学,CT) 来识别瓶盖的异物.
- 干预涉及失败的柔性内镜和成功的硬性食道镜进行切除.
主要成果:
- 一个2.5厘米的瓶盖被放置在胸腔入口,没有结构异常.
- 最初的内镜检索失败了; 刚性食道镜实现了块式提取.
- 患者没有出现并发症而康复,仅表现出表面的粘膜侵蚀.
结论:
- 慢性乙醇和尼古丁的共同使用可以使喉敏感度减弱,导致食道外体的识别延迟.
- 使用物质的成年人可能面临较大的非食品食道冲击的风险.
- 临床医生应考虑在物质使用者身上外体冲击,即使没有急性症状.
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