一个保留的童年玩具模仿了成年人的慢性支气管阻塞:一个案例报告
Ryo Takeyama1, Yoshikane Yamauchi1, Tomoki Nishida1
1Department of Surgery Teikyo University School of Medicine Tokyo Japan.
Respirology case reports
|February 16, 2026
概括
一个被遗忘的童年异物吸收,就像一个空气手枪子弹,可以导致成年人的支气管阻塞. 这一案例凸显了在慢性呼吸系统问题中考虑外体的必要性,即使没有明确的病史.
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
- 儿科呼吸系统医学 儿科呼吸系统医学
背景情况:
- 童年被遗忘的外体吸收可能导致成人慢性支气管阻塞.
- 儿童肺炎的复发可能会掩盖潜在的异物留.
- 当历史上的窒息发作缺席时,就会出现诊断挑战.
研究的目的:
- 为了突出晚出现的异物吸收的诊断挑战.
- 强调在无法解释的慢性支气管阻塞中考虑异物的重要性.
- 报告一个30岁的保留空气手枪颗粒导致支气管阻塞的病例.
主要方法:
- 一个45岁的男性患有重复的童年肺炎的病例报告.
- 诊断工作包括胸部计算机断层扫描 (CT) 和支气管镜检查.
- 由于怀疑患有恶性瘤,进行了手术 (右中间和下部双眼切除术).
主要成果:
- 胸部CT显示了右侧基底支气管的完全阻塞与 atelectasis.
- 支气管镜检查显示炎症变化和支气管堵塞.
- 病理学检查出乎意料地发现了一颗12毫米塑料气枪颗粒,保留了30多年.
结论:
- 在慢性支气管阻塞的差异诊断中,必须考虑异物吸收,即使没有明确的病史.
- 先进的成像和支气管镜检查对于诊断至关重要.
- 当恶性瘤不能被排除时,可能需要进行手术干预,导致偶然发现异物体.
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