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題名 | 幼兒喉部異物--二例報告=Laryngeal Foreign Body in Children-- Report of Two Cases |
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作者姓名(中文) | 方端仁; 李學禹; 鄭嘉遜; 黃俊生; | 書刊名 | 中華民國耳鼻喉科醫學會雜誌 |
卷期 | 33:4 1998.08[民87.08] |
頁次 | 頁138-141 |
分類號 | 417.6891 |
關鍵詞 | 喉部; 異物; Larynx; Foreign body; |
語文 | 中文(Chinese) |
中文摘要 | 氣道異物吸入多發生於3歲以下之幼兒,出現在喉部者極為罕見。本文報 告 2 例喉部異物:病例 1 為 2 歲 9 個月男嬰,因吸氣性鳴及呼吸窘迫至本院求診。經內 科治療無效後,進行支氣管鏡檢查,結果顯示於聲門下後側部位有半粒花生。於是在遠距鏡 及螢幕監測下,以彎葉喉鏡及鼻鑷將其摘除。 病例 2 為 1 歲 9 個月男嬰,臨床表現為聲 音沙啞及呼吸窘迫, 病患曾於外院診斷為聲帶肉芽腫,經治療 9 天無效後再轉至本院求診 。 側頸部 X 光檢查發現聲門及聲門下有一高密度異物影像,遂安排手術,以相同方法將嵌 入喉部之骨片摘除。名病患後均順利出院, 門診追蹤均無任何後遺症。 |
英文摘要 | The majority of tracheobronchial foreign body aspiration occurs in children less than 3 years old. The incidence of laryngeal foreign body aspiration is very rare so we reviewed two such cases. The first case is a 33-month-old boy. He suffered from inspiratory stridor and respiratory distress. Flexible bronchoscopy revealed half a piece of peanut lodging in posterior part of subglottis. We exposed the larynx by curved-blade laryngoscope and took the peanut away by using an ENT forceps. The second case is a 21-month-old boy. He was sent because of hoarseness and respiratory distress. Neck lateral view revealed a high-density foreign body image in the larynx. The aspirated bone was taken away by the method described above. Both patients were discharged with no complication. |
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