箭竹穿刺傷所遺留的口咽部異物－病例報告

An Oropharyngeal Foreign Body Following Penetrating Injury by Bamboo – Case Report

何旭爵(Hsu-Chueh Ho) ； 徐莉萍(Lee-Ping Hsu)

《中華民國耳鼻喉科醫學雜誌》 34卷2期 (1999/03) Pp. 152-154

https://doi.org/10.6286/1999.34.2.152

摘要

咽部位於呼吸消化道最上端，下接喉部及食道，上達顱底，其周圍鄰近重要的血管及神經。發生於此的穿刺傷，除可能造成大出血及呼吸道阻塞外，在處理穿刺異物時的危險性也相當大，且必須預防其他的併發症。本病例告為一30歲女性，上山採箭竹筍時不慎跌倒，致箭竹由頸部刺入，之後病患因強烈喉部異物感輾轉前來本科門診，局部鏡檢發現一箭竹科置於口咽部，向上插入鼻咽部，向下沒入下咽部，於是住院接受手術治療，即接受氣管切開併異物取出手術，術後恢復良好。

關鍵字

箭竹 ； 穿刺傷 ； 口咽部

並列摘要

The pharynx and nearby structures such as the great vessels and nerves, are susceptible to penetrating injuries of the head and neck. These injuries can lead to massive bleeding and airway obstruction. We report a 30-year-old woman who suffered a penetrating injury to the neck from the sharp tip of the a bamboo (Pseudosasa uzawai) shaft while she was collecting bamboo sprouts. Two weeks after initial wound management by a general surgeon, she came to our out-patient clinic because of persistent discomfort of the throat and dysphagia. A piece of bamboo shaft was found in the oropharynx, extending to the hypopharynx and nasopharynx. Computed tomography showed no foreign body but swelling of the posterior pharyngeal wall. A tracheotomy was performed to keep the airway patent. Then the foreign body was removed from the mouth after transaction at its midportion. After surgery, the patient recovered without complications.

並列關鍵字

pseudosasa uzawai ； penetrating injury ； oropharynx