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題名 | Successful Localization and Surgical Removal of Ingested Sewing Needles under Mini C-Arm Fluoroscopy: A Case Report=以迷你C-arm Fluoroscopy成功定位並取出嚥下縫衣針--病例報告 |
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作者姓名(中文) | 馬政仁; 詹昌明; 謝建勳; 黃裕勝; 王文明; 陳漢文; 王照元; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷期 | 22:9 民95.09 |
頁次 | 頁457-460 |
分類號 | 416.24 |
關鍵詞 | 嚥下之縫衣針; 定位; C-arm fluoroscopy; Ingested sewing needles; Localization; |
語文 | 英文(English) |
中文摘要 | The Kaohsiung Journal of Medical Sciences Shortcut to this page: http://ajws.elsevier.com/ajws3/switch.asp?journal_issn=1607-551X Copyright © 2009 Elsevier. All rights reserved. Volume 22 • Issue 9 • September 2006 RSS feeds | E-mail this article Volume 22, Issue 9, September 2006, Pages 457 - 460 SUCCESSFUL LOCALIZATION AND SURGICAL REMOVAL OF INGESTED SEWING NEEDLES UNDER MINI C-ARM FLUOROSCOPY: A CASE REPORT Case Reports Cheng-Jen Ma, Chang-Ming Jan, Jan-Sing Hsieh, Yu-Sheng Huang, Wen-Ming Wang, Hon-Man Chan, Jaw-Yuan Wang Foreign body ingestion is common, but ingestion of multiple sewing needles is rare. Most ingested sharp metallic bodies pass through the digestive tract spontaneously and patients can be managed conservatively. Sometimes, however, perforation develops and surgical treatment is necessary. It is hard to localize ingested sewing needles because they tend to scatter widely in the digestive tract and are impalpable manually. We report a psychiatric patient who ingested six sewing needles: one intact needle was found at the larynx, one had penetrated into the stomach, one was in the duodenum, one was in the cecum, one was broken into two pieces, and the final needle was broken into three pieces. All of the broken fragments were in the colon. The needle at the larynx was removed by a laryngoscope. Subsequently, we used mini C-arm fluoroscopy to localize the remaining needles and successfully removed all of them intraoperatively. 吞食異物很常見,但是吞食多量的縫衣針則不常遇到。大多吞入的尖銳金屬物可自行通過消化道,而這些患者可以保守療法治療,但有時會併發穿孔,而需要外科治療。然而,當被咽入的縫衣針散在消化道中且無法用手摸出來時,手術中就十分困難去定位並且取出。我們報告了一個精神病患吞食了 6 根縫衣針。在這 6 根縫衣針中,一根完整的針卡在咽喉中、一根完整的針刺進胃裡、一根完整的針刺進十二指腸、一根完整的針刺進盲腸,另外有一根斷成二截、另一根斷成三截,而這些斷片則都散在結腸中。在咽喉裡的那根針以咽喉鏡取出,接著,我們在手術中以迷你 C-arm fluoroscopy 定位其餘的縫衣針,並成功地取出。 |
英文摘要 | Foreign body ingestion is common, but ingestion of multiple sewing needles is rare. Most ingested sharp metallic bodies pass through the digestive tract spontaneously and patients can be managed conservatively. Sometimes, however, perforation develops and surgical treatment is necessary. It is hard to localize ingested sewing needles because they tend to scatter widely in the digestive tract and are impalpable manually. We report a psychiatric patient who ingested six sewing needles: one intact needle was found at the larynx, one had penetrated into the stomach, one was in the duodenum, one was in the cecum, one was broken into two pieces, and the final needle was broken into three pieces. All of the broken fragments were in the colon. The needle at the larynx was removed by a laryngoscope. Subsequently, we used mini C-arm fluoroscopy to localize the remaining needles and successfully removed all of them intraoperatively. |
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