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呼吸道異物吸入-一病例報告

Foreign Body Aspiration into Airway - A Case Report

摘要


嬰幼兒呼吸道異物吸入乃常見的問題。但若未能及時診斷治療,可能會對病人造成嚴重的傷害。本文報告一位三歲小女孩飽嚐長時期(三個多月)間歇性咳嗽及反覆性肺炎之苦後,才藉於胸部X光、電腦斷層掃描及支氣管鏡將其診斷為呼吸道異物吸入。經多次嘗試尚無法以支氣管鏡將異物完全取出後,最終改採胸腔切開術將異物除去,術後病人很快就復原。本文並討論呼吸道異物吸入的病程、臨床表現、診斷及預後。

關鍵字

異物吸入 哮鳴聲 咳嗽

並列摘要


Foreign bodies aspiration into airway is a common problem in the infant and young children. Severe damage to the respiratory tract or even fatal to the child will happen if there is no accurate diagnosis and timely intervention. We report a case of foreign body aspiration – a three-year-old girl, who was suffered from prolonged (more than three months) intermittent cough and recurrent pneumonia. The diagnosis was documented under the aids of chest x-ray, CT scan and bronchoscopy. Complete recovery was achieved after the removal of the foreign body with thoracotomy. The course, clinical manifestation, diagnosis and prognosis of the foreign body aspiration were discussed as well.

並列關鍵字

foreign body aspiration wheezing cough

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