深圳57岁李女士因误吞鸡骨后自行吞饭处理，导致约3厘米长、两头尖锐的鸡骨横向嵌入食管上段并造成穿孔1。更危险的是，这根骨头的尖端距离左侧颈总动脉仅3-4毫米1，情况危急。患者将异物滞留体内三天后才就医1。
深圳市龙岗区耳鼻咽喉医院启动多学科协作，在全麻下使用硬质食管镜于23分钟内成功取出异物1。李女士右侧周围性面瘫，面部肌肉及咀嚼功能存在障碍1，这进一步增加了救治难度。术后患者恢复良好，第二天体温恢复正常，已脱离生命危险1。医学专家提醒，误吞异物时吞饭团、喝醋、猛咳、手抠等民间偏方均不可取1，应立即就医处理。
A 57-year-old woman in Shenzhen nearly suffered catastrophic internal bleeding after swallowing a chicken bone and attempting to dislodge it herself by eating rice 1. The roughly 3-centimeter-long bone, with sharp pointed ends, became embedded horizontally in her esophagus and perforated the tissue wall, with its tip lodged just 3 to 4 millimeters from her left carotid artery 1. The foreign object remained stuck for three days before the woman sought medical intervention 1.
Doctors at Shenzhen Longgang District Ear, Nose, and Throat Hospital responded with a multidisciplinary emergency protocol, successfully extracting the bone under general anesthesia using a rigid esophagoscope in just 23 minutes 1. The patient's medical history complicated the case: she had right-sided peripheral facial paralysis with accompanying dysfunction of facial and chewing muscles, which had likely contributed to her initial swallowing accident 1. By the following day, her body temperature normalized and she was declared out of immediate danger 1.
Medical experts have cautioned that common folk remedies—swallowing rice balls, drinking vinegar, coughing forcefully, or attempting manual removal—are all ineffective and potentially dangerous when foreign objects lodge in the throat 1.
评论
还没有评论，欢迎留下第一条。