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患者,男,34岁。因误咽鱼刺胸骨后疼痛,吞咽困难13小时,经吞服少量脱脂棉食管钡餐透视,食管下段异物,曾口服“阿斯匹林、食醋”治疗无效,即用前视镜观察,当胃镜进入食管下段距门齿30cm处窥到一呈棱形鱼刺,尖端插入食管前壁,周围粘膜充血,轻度水肿,表面覆盖少许棉絮,因本院无异物钳设备,我们用活检钳代取,首先将异物表面棉絮清除,再将异物(鱼刺)夹住,随同胃镜缓慢
Patient, male, 34 years old. Due to accidental pharyngeal sore thoracic pain, swallowing for 13 hours, swallowed a small amount of non-fat cotton esophageal barium meal fluoroscopy, lower esophageal foreign body, had oral “aspirin, vinegar” treatment is invalid, that is, with the front mirror, Lower esophageal 30cm from the incisors glimpse a prismatic fishbone, the tip into the anterior esophageal mucosa around the congestion, mild edema, the surface covered a little cotton, because the hospital without foreign pliers equipment, we use biopsy forceps take the first Removal of foreign matter on the surface of the cotton wool, and then foreign body (fish thorns) folder, with gastroscopy slowly