游荡的异物:儿童从支气管到胃的看似自发的迁移

IF 0.3 Q4 PEDIATRICS
R. Lambert
{"title":"游荡的异物:儿童从支气管到胃的看似自发的迁移","authors":"R. Lambert","doi":"10.1055/s-0041-1726098","DOIUrl":null,"url":null,"abstract":"A 12-year-old previously healthy male presented to a refer-ring emergency department (ED) after reporting that he suddenly “ breathed in a piece of a toy ” while riding in a car. The child had removed a metal pin from a “ fi dget cube ” and was chewing on it. The car was jarred as it drove over a bump, leading him to inhale the metal pin. In the ED, a chest radiograph obtained around 2000 revealed a cylindrical, radiopaque foreign body (FB) in his right bronchus ( ► Fig. 1 ). The child denied shortness of breath, chest pain,orany discomfort. Hehadnocoughingor vomiting. His vital signs were stable, and his oxygen saturation was 99% on room air. The child was transferred to our pediatric intensive care unit (PICU) for close monitoring and further evaluation by the pediatric otolaryngology staff. Upon arrival to the PICU, the child remained without distress and reported no coughing or vomiting during trans-port. The child was monitored overnight and taken to the operating room early the next morning. Under general endotracheal anesthesia, a 13.5 slotted Storz laryngoscope was used to evaluate the pharynx, larynx, and periglottic regions and no abnormalities were noted. A long Hopkins telescope was then used to examine the trachea and both right and left mainstem bronchi. No FB or signs of in fl am-mation were identi fi ed. An intraoperative chest radiograph obtained around 0900 revealed that the FB was now in the stomach ( ► Fig. 2 ). The pediatric gastroenterology service was consulted and suggested that the FB did not require removal, as","PeriodicalId":41283,"journal":{"name":"Journal of Child Science","volume":"11 1","pages":"e68 - e69"},"PeriodicalIF":0.3000,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0041-1726098","citationCount":"1","resultStr":"{\"title\":\"The Wandering Foreign Body: A Seemingly Spontaneous Migration from Bronchus to Stomach in a Child\",\"authors\":\"R. Lambert\",\"doi\":\"10.1055/s-0041-1726098\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"A 12-year-old previously healthy male presented to a refer-ring emergency department (ED) after reporting that he suddenly “ breathed in a piece of a toy ” while riding in a car. The child had removed a metal pin from a “ fi dget cube ” and was chewing on it. The car was jarred as it drove over a bump, leading him to inhale the metal pin. In the ED, a chest radiograph obtained around 2000 revealed a cylindrical, radiopaque foreign body (FB) in his right bronchus ( ► Fig. 1 ). The child denied shortness of breath, chest pain,orany discomfort. Hehadnocoughingor vomiting. His vital signs were stable, and his oxygen saturation was 99% on room air. The child was transferred to our pediatric intensive care unit (PICU) for close monitoring and further evaluation by the pediatric otolaryngology staff. Upon arrival to the PICU, the child remained without distress and reported no coughing or vomiting during trans-port. The child was monitored overnight and taken to the operating room early the next morning. Under general endotracheal anesthesia, a 13.5 slotted Storz laryngoscope was used to evaluate the pharynx, larynx, and periglottic regions and no abnormalities were noted. A long Hopkins telescope was then used to examine the trachea and both right and left mainstem bronchi. No FB or signs of in fl am-mation were identi fi ed. An intraoperative chest radiograph obtained around 0900 revealed that the FB was now in the stomach ( ► Fig. 2 ). The pediatric gastroenterology service was consulted and suggested that the FB did not require removal, as\",\"PeriodicalId\":41283,\"journal\":{\"name\":\"Journal of Child Science\",\"volume\":\"11 1\",\"pages\":\"e68 - e69\"},\"PeriodicalIF\":0.3000,\"publicationDate\":\"2021-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1055/s-0041-1726098\",\"citationCount\":\"1\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Child Science\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1055/s-0041-1726098\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"PEDIATRICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Child Science","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1055/s-0041-1726098","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PEDIATRICS","Score":null,"Total":0}
引用次数: 1

摘要

一名12岁的健康男性报告称,他在乘车时突然“吸入了一块玩具”,随后被转诊到急诊科。这名儿童从一个“小立方体”上取下一根金属针,正在咀嚼。汽车驶过一个凸起时发出刺耳的声音,导致他吸入了金属针。在急诊科,2000年左右的胸部X光片显示他的右支气管有一个圆柱形的、不透射线的异物(FB)► 图1)。孩子否认呼吸急促、胸痛或任何不适。他没有呕吐。他的生命体征稳定,室内空气中的血氧饱和度为99%。孩子被转移到我们的儿科重症监护室(PICU),由儿科耳鼻喉科工作人员进行密切监测和进一步评估。到达PICU后,孩子没有任何痛苦,并报告在转运过程中没有咳嗽或呕吐。孩子被监护了一夜,第二天一早就被送到了手术室。在全身气管内麻醉下,使用13.5槽Storz喉镜评估咽、喉和声门周围区域,未发现异常。然后用一个长的霍普金斯望远镜检查气管和左右主支气管。没有发现FB或炎症迹象。0900左右获得的术中胸部X光片显示FB现在在胃中(► 图2)。咨询了儿科胃肠病服务,并建议FB不需要移除,因为
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Wandering Foreign Body: A Seemingly Spontaneous Migration from Bronchus to Stomach in a Child
A 12-year-old previously healthy male presented to a refer-ring emergency department (ED) after reporting that he suddenly “ breathed in a piece of a toy ” while riding in a car. The child had removed a metal pin from a “ fi dget cube ” and was chewing on it. The car was jarred as it drove over a bump, leading him to inhale the metal pin. In the ED, a chest radiograph obtained around 2000 revealed a cylindrical, radiopaque foreign body (FB) in his right bronchus ( ► Fig. 1 ). The child denied shortness of breath, chest pain,orany discomfort. Hehadnocoughingor vomiting. His vital signs were stable, and his oxygen saturation was 99% on room air. The child was transferred to our pediatric intensive care unit (PICU) for close monitoring and further evaluation by the pediatric otolaryngology staff. Upon arrival to the PICU, the child remained without distress and reported no coughing or vomiting during trans-port. The child was monitored overnight and taken to the operating room early the next morning. Under general endotracheal anesthesia, a 13.5 slotted Storz laryngoscope was used to evaluate the pharynx, larynx, and periglottic regions and no abnormalities were noted. A long Hopkins telescope was then used to examine the trachea and both right and left mainstem bronchi. No FB or signs of in fl am-mation were identi fi ed. An intraoperative chest radiograph obtained around 0900 revealed that the FB was now in the stomach ( ► Fig. 2 ). The pediatric gastroenterology service was consulted and suggested that the FB did not require removal, as
求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
CiteScore
0.50
自引率
0.00%
发文量
19
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信