幼兒喉部異物－二例報告

Laryngeal foreign Body in Children – Report of Two Cases

方端仁(Tuan-Jen Fang) ； 李學禹(Hsueh-Yu Li) ； 鄭嘉遜(Ka-Shun Cheng) ； 黃俊生(Tsun-Sheng Huang)

《中華民國耳鼻喉科醫學會雜誌》 33卷4期 (1998/08) Pp. 426-429

https://doi.org/10.6286/1998.33.4.426

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，因吸氣性端鳴及呼吸窘迫至本院求診。經肉科治療無效後，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。2名病患術後均順利出院，門診追蹤均無任後遺症。

關鍵字

喉部 ； 異物

並列摘要

The majority of tracheobronchial foreighn body aspiration occurs in children foreighn 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 brochoscopy 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 aboved. Both patients were discharged with no complication.

並列關鍵字

larynx ； foreign body