医学
异物
脓肿
喉镜检查
耳鼻咽喉科
外科
咽
败血症
体格检查
人口
重症监护医学
普通外科
插管
环境卫生
作者
Tianyu Wang,Yin Cheng,Caiquan Liang,Siluo Zha,Bojian Lin,Xudong Zha,Boyu Cai,Peng Hu,Huanhai Liu
出处
期刊:Journal of Craniofacial Surgery
[Ovid Technologies (Wolters Kluwer)]
日期:2022-10-24
卷期号:34 (2): e171-e175
标识
DOI:10.1097/scs.0000000000008948
摘要
Background: Pharyngeal foreign body is not only a common emergency in people’s daily life, but also a common simple disease in otorhinolaryngology. However, the disease is easy to be ignored due to its common occurrence, which may lead to a series of serious complications including sepsis and local abscess. Case Presentation: In this case, a patient with sepsis, piriform fistula, deep neck abscess, and mediastinal abscess caused by a fishbone was reported. After reviewing the international literature on severe infectious complications caused by foreign bodies in pharynx, the authors emphasize the important role of multidisciplinary team in dealing with complex complications. Result: The whole process of patient from onset to recovery was summarized in a timeline. During hospitalization, the value of leukocyte counts and C-reactive protein in routine blood test was record dynamically. The electronic laryngoscopy, neck computed tomography and chest computed tomography were used to judge treatment efficacy. After about 2 months of hospitalization, the patient was recovered without sequelae. No adverse reactions were found during the follow-up. Conclusion: The incorrect method of removing foreign body after mis-swallowing may develop serious complications. Therefore, It is important to strengthen medical preaching for general population of correct treatments after foreign body ingestion. In addition, the case reminds clinicians to pay more attention to patients’ medical history and details of all medical examinations, which may provide significant clues for making the correct diagnosis and treatment quickly.
科研通智能强力驱动
Strongly Powered by AbleSci AI