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咽喉部异物是耳鼻喉科常见疾病之一。但异物穿破梨状窝粘膜存留于其下方之软组织内少见。现报告1例。 患者,男,44岁。于1993年10月29日入院。患者于15天前吃面汤时觉有尖锐异物刺于右咽部,即强行吞食馒头、面饼等,咽部刺痛感无缓解,每日照常进食。在当地医院静滴“青霉素”,3日后咽痛消失,但头部转动时颈右侧有轻微疼痛,数日后自然消失。颈部正侧位X线片示喉咽部有一金属异物(大头针)。用纤维胃镜检查上消化道未见异物,转我院。 体检:颈前部无红肿及压痛。咽部正常,间接喉
Throat foreign body is one of the common diseases of otolaryngology. However, foreign body piercing pear-shaped fossa mucosa remain in the soft tissue below the rare. Now report 1 case. Patient, male, 44 years old. On October 29, 1993 admission. Patients eat noodles soup 15 days ago felt sharp foreign body thorn in the right pharynx, that is forced to swallow bread, cakes, throat tingling no relief, daily intake as usual. Intravenous infusion of “penicillin” in the local hospital, sore throat disappeared after 3 days, but slight pain on the right side of the neck when the head rotated, a few days later disappear naturally. The posterior X-ray of the neck shows a metallic foreign body (pin) in the hypopharynx. Fiber gastroscopy with upper gastrointestinal tract no foreign body, turn our hospital. Physical examination: No swelling and tenderness in front of neck. Pharyngeal normal, indirect throat