吸入假牙的双边主干支气管阻塞:一个诊断惊喜和治疗挑战
Sukanta Kodali1, Jaydip Deb2, Sourindra N Banerjee2
1Respiratory Medicine, Nilratan Sircar Medical College, Kolkata, West Bengal, India sukantakodali@gmail.com.
BMJ case reports
|December 31, 2025
概括
异物吸收,特别是假牙,在成年人中很罕见,可以模仿COPD. 灵活的支气管透镜成功地检索了双边气道阻塞,改善了症状.
科学领域:
- 肺部病理学 肺部病理学
- 紧急医疗 紧急医疗
- 胃肠病学 胃肠病学
背景情况:
- 成年人对外体 (FB) 的渴望是不常见的,经常被忽视.
- 吸入假牙的双边气道阻塞非常罕见,可以模仿慢性阻塞性肺病 (COPD).
研究的目的:
- 报告一种罕见的双边主干支气管阻塞病例,该病例是由一个患有COPD的成年男性吸入假牙引起的.
- 突出诊断挑战和成功管理这种情况.
主要方法:
- 一个40多岁的男性患者的病例报告,呼吸系统症状恶化,有慢性肺炎病史.
- 诊断成像揭示了双边主干支气管中放射不透明的异物.
- 灵活的支气管检查用于诊断和检索假牙.
主要成果:
- 灵活的支气管镜检查证实了两个主要支气管中都有假牙的存在.
- 取得了成功的吸气假牙的检索.
- 患者在手术后经历了显著的临床改善.
结论:
- 在成年人呈现不明原因或难以治愈的呼吸道症状时,即使没有明确的吸气史,也应该考虑外体吸气.
- 灵活支气管镜检查是诊断和管理气道外体吸入的宝贵工具.
- 这一案例强调了高度怀疑空气道阻塞不寻常原因的高指数的重要性.
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