Suspected Aspiration Pneumonia in a Patient with Esophageal Compression Related to Cervical Spine Osteophytes

一個疑似吸入性肺炎病人併有頸椎骨刺造成的食道壓迫

田蕙嘉(Hui-Chia Tien) ； 林長怡(Chung-Yi Lin) ； 吳健樑(Chien-Liang Wu)

《胸腔醫學》 26卷2期 (2011/04) Pp. 93-98

https://doi.org/10.29806/TM.201104.0005

摘要

本文報告一個罕見的吸入性肺炎病例，它的病因為頸椎骨刺。這位65歲的男性起初的症狀為在過去一年有漸進性的吞嚥困難和體重減輕。最近則因為吸入性肺炎住院。放射線診斷顯示在頸椎前部第四節及第五節有骨刺導致食道開口阻塞以致於容易嗆到。這個病因可以經由頸部X光簡單地被診斷，但是疏忽卻會導致嚴重的併發症。患者接受頸椎前部第四節及第五節椎間盤切除後，他的營養狀況和症狀都有改善。

關鍵字

肺炎 ； 吞嚥困難

並列摘要

This report describes a case of aspiration pneumonia with a very rare etiology-cervical spine osteophytes. The initial symptoms of this 65-year-old man were progressive dysphagia and weight loss for 1 year. He had been admitted recently for aspiration pneumonia. Radiological examination indicated anterior cervical spine osteophytes at the C4-C5 level, which obstructed the esophagus, and consequently induced frequent choking. This can be easily diagnosed by cervical X-ray, but overlooking the findings could easily lead to severe complications. After undergoing an anterior cervical disectomy at C4-C5, the patient's nutritional status and the above-mentioned symptoms improved.

並列關鍵字

pneumonia ； dysphagia