活的喉部異物：水蛭－病例報告

Animate Foreign Body in the Larynx: Leeches - Case Report

杜權恩(Chuan-En Tu) ； 徐莉萍(Lee-Ping Hsu) ； 陳培榕(Peir-Rong Chen)

《慈濟醫學雜誌》 16卷4期 (2004/08) Pp. 273-276

https://doi.org/10.6440/TZUCMJ.200408.0273

摘要

上呼吸道異物是重要的耳鼻喉科急症，而異物的種類以非動物性異物居多。我們經驗一位46歲女性病患的求診，主訴為持續一週之咳血及喉部異物感，經間接喉鏡及軟式纖維內視鏡的檢查，發現聲門下方有一棕黑色之活動性異物。之後病患接受硬式喉直達內視鏡手術，取出一長約3公分的水蛭。回顧其病史，病患平時有生飲山泉水的習慣，因此有接觸水蛭的可能性。面對出現咳血或咽喉部異物感之病患時，特別是病患曾有接觸山泉水之病史時，需將上呼吸消化道之水蛭寄生列為鑑別診斷之一。

關鍵字

喉部 ； 異物 ； 水蛭 ； 咳血

並列摘要

Foreign bodies in the airway are important emergencies in otolaryngology and most of them are non-animal. We present a 46-year-old woman who had intermittent blood-tinged sputum and a sensation of a lump in her throat for 1 week. After indirect and direct laryngoscopic examination, an animate brown foreign body was noted beneath the vocal folds. Using a direct rigid laryngoscope under intravenous general anesthesia, a 3 cm leech was removed. She often drank water directly from a spring which was possibly infested with leeches. Thus, we should keep this condition in mind in the differential diagnosis when patients present with hemoptysis or pharyngeal symptoms, especially in the eastern Taiwan.

並列關鍵字

Larynx ； foreign body ； leech ； hemoptysis