心脏起搏器植入患者经食管镜异物取出术时并发心跳骤停1例

我们遇1例心脏起搏器植入患者,经食管镜检查行异物取出术时发生心跳骤停,经抢救成功,报告如下。男,70岁。1996年4月5日,患者进食时,义齿不慎脱落误咽,当即吞咽时感咽喉部疼痛,后疼痛转到胸部,不能进食。无呼吸困难、声音嘶哑及呕血。异物为上颌带钢丝6颗义齿。患者曾患“心动过缓”于1989年行心脏起搏器植入术,术后心脏功能良好。体检:T36.5℃,P74次/min,R22次/min,BP150/90mmHg(1mmHg=0.133kPa)。76312367和7牙缺失。颈部无压痛,双侧梨状窝积液。心率74次/min,律齐,未闻及杂音;双肺未闻及干湿性音。胸片报告:胸3～5水平可见到一线形…     

气管内金属图钉异物长期误诊一例

患儿男，16岁，4年前将图钉噙在嘴中与人说话时突然出现呛咳，剧烈咳嗽，咳血性痰，伴面色青紫，呼吸急促，之后其未介意。此后患儿间断性咳嗽，发热，每年数次不等，有时咳痰带少量的血性物，曾在乡医院多次就诊儿科，     

Unusual foreign body in the trachea

A great variety of foreign bodies in the traeheohr onvhial tree have been reported, but presence of fractured tracheostomy tube as foreign body is ran1. Usually fractured pieces of outer tube are found in the bronchus or trachea near the carina, but occurence of inner tube in the upper part of the trachea is rare2 and one such case is presented here.     

Asymptomatic impacted foreign body of trachea

A rare case of asymptomatic impacted F.B. of trachea has been reported.     

食道异物合并咽和食道后壁血肿一例

患者女，64岁。入院前2d于进食鱼后开始出现吞咽梗阻感，当即强行下咽米饭，并自行用“保心安”油用力涂擦颈前部，但吞咽梗阻感进行性加重，并伴有呼吸不畅感。无发热、咳嗽、咳痰、咳血、胸痛，无腹痛、腹泻、黑便，在外院行CT检查提示咽食道后壁占位病变。于2003年12月2日转入我科。查体发现口咽、下咽后壁明显肿胀，黏膜表面见广泛紫红色淤斑。血常规示血小板、白细胞总数正常，     

鼓室隐形窃听器异物1例

患者,男,22岁,因"右耳内异物存留1个月"于2011-05-07入院。患者诉1个月前因考驾照将"隐形窃听器"放置右侧外耳道内〔1〕,自行多次试用挖耳勺伸入耳道内未能取出,而后就诊于当地医院,3次在局部麻醉下行外耳道异物取出,因疼痛难忍,异物未能取出。入院时患者自感右耳肿痛伴闷塞感,听力明显下降,无耳流脓史及慢性中耳炎史。     

A lingual thyroid cyst complicating a foreign body in the oesophagus

A case report is presented of a man who had a foreign body in his oesophagus complicated by the fact that he also had a large cyst of a lingual thyroid. The problems encountered and his subsequent management are discussed. The possibility that a cyst of the tongue base may contain the only functioning thyroid tissue and the dangers of haemorrhage at its removal are emphasized.