临床误诊误治2016，Vol.29Issue(3)：10-13,4.DOI:10.3969/j.issn.1002-3429.2016.03.004
易漏诊的上消化道异物九例临床分析
The Clinical Analysis of 9 Cases of Missed Diagnosis of Migrating Foreign Body in the Upper Digestive Tract
摘要
Abstract
Objective To investigate the characteristics of the cases of foreign body in the upper digestive tract which often missed diagnosis, and the possible consequences and preventive method. Methods Retrospective analysis of 9 cases undergoing the delayed removal of foreign body in the upper digestive tract was carried out in our hospital. Results The cases of foreign body was fish (7 cases) or chicken bone (2 cases), lasting 12 hours to 21 days. No foreign body was found by fibe-ropticlaryngoscope, gastroscope and esophageal barium meal radiography, except by MSCT. The foreign bodies were found mi-grating into pyriform sinus (4 cases), prevertebral fascia (1 case), thyroid (1 case), neck soft tissue (1 case), esophageal muscular (1 case), pharyngeal mucosa (1 case). 3 cases were complicated with neck space infection. 4 cases of foreign body in pyriform sinus were removed with the oesophagoscope, and 5 cases were taken out by an open approach, under general an-esthesia. All were cured and discharged. Conclusion For migrating foreign bodies that miss diagnosis in regular examina-tions, MSCT is of immense value in avoiding missed diagnosis and misdiagnosis, and detecting possible complications and also can help doctors to choose the best possible approach.关键词
异物/上消化道/漏诊/体层摄影术/螺旋计算机Key words
Foreign body/Upper digestive tract/Miss diagnosis/Tomography/Spiral computed分类
临床医学引用本文复制引用
胡慧英,于振坤,车子刚,张庆翔,何双八..易漏诊的上消化道异物九例临床分析[J].临床误诊误治,2016,29(3):10-13,4.基金项目
江苏省临床重点专科建设项目(2013) （2013）
江苏省双创人才资助项目(2014373) （2014373）
