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題 名 | A Migrating Oropharyngeal Foreign Body Presenting as Acute Supraglottic Laryngitis=以急性聲門上喉炎表現的遊走性口咽部異物 |
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作 者 | 陳正文; 詹益智; 蘇旺裕; | 書刊名 | 輔仁醫學期刊 |
卷 期 | 2:1 2004.03[民93.03] |
頁 次 | 頁3-7 |
分類號 | 416.89 |
關鍵詞 | 急性聲門上喉炎; 口咽部; 異物; 電腦斷層; Foreign body; Oropharynx; Acute supraglottic laryngitis; Computed tomography; |
語 文 | 英文(English) |
中文摘要 | 完全沒入於口咽部軟組織內的遊走性異物之診斷與處置,對臨床醫師而言是一項挑戰。本院經歷一例四十三歲女性病患,主訴入院五天前喝了一碗酸辣湯後咽喉部有輕微異物感,曾就醫服用抗生素未見改善,於入院前三天出現漸進性吞嚥困難,高燒及右側頸部腫痛等症狀,耳鼻喉檢查發現右側會厭谿局部膿腫,初步診斷為急性聲門上喉炎,經頸部X光檢查確認異物存在,但由於局部發炎情形嚴重而無法由內視鏡順利取出,於是安排頸部電腦斷層檢查,並且利用電腦軟體重組矢狀切面的影像輔助之下,經由頸部外科手術成功取出一長達2.5公分的魚刺。遊走性異物常發生於尖銳的異物(如魚刺等),臨床上易與急性聲門上喉炎混淆,且不容易評估其沒入的深度,常造成治療上的困擾。本文提出利用頸部電腦斷層檢查加上電腦軟體重組矢狀切面的影像輔助,評估異物的位置及深度,對於治療方式的選擇,將有決定性的幫助。 |
英文摘要 | Management of a patient who has a fish bone lodged in the soft tissues of the neck presents a diagnostic and therapeutic dilemma. A patient who came to our hospital with typical symptoms of acute supraglottic laryngitis and a vague history of foreign-body ingestion was proven to have an incarcerated oropharyngeal fish bone. A neck CT scan with multi-plane reformatted oblique sagittal images proved to be helpful in locating the embedded foreign body before neck exploration. To our knowledge the use of such a diagnostic tool for this purpose has not previously been reported. |
本系統中英文摘要資訊取自各篇刊載內容。