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食管异物是耳鼻咽喉科急诊之一,需要及时抢救行食管镜取出术治疗。食管异物多见于鸡骨鱼刺和钱币之类。但在我们临床工作中遇到5例罕见的食管异物,现报告如下。 1 病例报告 例1.患者,男,23岁。主诉劳累后又渴又饿,在职工食堂大口大口地喝菠菜汤时不慎将异物吞入,曾先后就诊两次,以饮水试验阴性而误诊达43天才被确诊。于食管第三狭窄处取出5cm×3cm×2cm大小三环铁丝圈一个,其尖端刺入食管形成局限性食管炎。 例2.患者,女,12岁。一边吃皮皮虾,一边跳方格玩,不慎将其误吞,患儿痛苦面容,失语,流口水,头前倾被动体位,呼吸急促。经食管镜检查发现:皮皮虾尾部卡在食管入口,尾部大尖刺向喉部,其余4个小尖刺入食管入口粘膜,给异物取出造成十分困难,经局部滴入麻黄素和2％地卡因充分收敛麻醉后,用食管镜前唇保护下终于完整取出3cm×2cm×0.5cm大小的皮皮虾尾部异物。
Esophageal foreign body is one of the otolaryngology emergency, need prompt rescue esophageal lens extraction treatment. Esophageal foreign body more common in chicken bones and coins and the like. But in our clinical work encountered 5 cases of rare esophageal foreign body, are as follows. 1 case report 1. Patient, male, 23 years old. Mainly tired after thirst and hungry, in the canteen drink spinach soup swallowed inadvertently swallowed foreign bodies, has treated twice, to drink water test negative and misdiagnosed up to 43 days was diagnosed. In the third esophageal stenosis removed 5cm × 3cm × 2cm size tricycle wire ring one, the tip piercing the esophagus to form a limited esophagitis. Example 2. Patient, female, 12 years old. While eating the skin of shrimp, while jumping box play, inadvertently swallowed it, children suffering face, aphasia, drooling, head tilt passive position, shortness of breath. The esophageal examination revealed that the tail of Pipi was stuck in the entrance of the esophagus and the tail was spiked to the larynx. The other 4 small spikes pierced the esophageal mucosa, which made it very difficult for the foreign body to take out. After the local ephedrine and 2% Cocaine full convergence anesthesia, with esophageal anterior lip protection finally complete removal of 3cm × 2cm × 0.5cm size Pipi tail foreign body.