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患者,男,14岁。于1995年2月25日下午1时许。将一枚大头针放在口内玩耍,不慎吞入,急诊入院。患儿无特殊主诉,不气促,咽喉及胸部无痛感。检查:惊恐面容;T、P、R均正常。间接喉镜检查:下咽及梨状窝均未见积液及异物。胸透报告T_2平面有金属异物影,呈垂直针状,针尖向上。诊断食管大头针异物。于当日下午4时,在局麻下行食管镜检查,未发现异物。立即再次胸透见异物影仍在,作吞钡标记,发现异物不在食管内。经CT及胸片证实异物停留于气管隆突处,针的大头已斜刺入右支气管腔。晚
Patient, male, 14 years old. On February 25, 1995, at 1 p.m. Put a pin on the mouth to play, accidentally swallowed, emergency admission. Children without special complaints, not irritation, throat and chest painless. Check: terrified face; T, P, R are normal. Indirect laryngoscopy: swallow and pear-shaped fossa were no fluid and foreign body. Chest thoracic T_2 metal surface foreign body shadow, vertical needle-like, needle up. Diagnostic esophageal needle foreign body. At 4pm on the same day, local esophagoscopy was performed on local anesthesia. No foreign body was found. Thoracotomy again immediately see foreign body shadow is still, as barbarian barbarum mark, found that foreign body is not in the esophagus. The CT and chest X-ray confirmed foreign body stay in the tracheal carina, the needle has diagonally pierced the right bronchial lumen. late