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首页> 美国卫生研究院文献>The Indian Journal of Surgery >A Broken Fruit Knife: Half in the Bronchus and Half in the Duodenum
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A Broken Fruit Knife: Half in the Bronchus and Half in the Duodenum

机译：破碎的水果刀：支气管中有一半十二指肠中有一半

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摘要

Foreign bodies in the airway, as well as those in the upper gastrointestinal tract, are life-threatening conditions and require prompt intervention. We report on a 44-year-old male patient who presented with 4 days of intermittent cough. A computed tomography was performed showing two metallic foreign bodies located in the right main bronchus and the duodenum. The knife blade was successfully removed by upper gastrointestinal endoscopy. However, the broken end of the blade was incarcerated in the right main bronchus and was removed via thoracotomy after the failure of endoscopic treatment. Endoscopy, such as flexible/rigid bronchoscopy or gastroscopy, is the first choice for removing foreign bodies for its minimal invasiveness. Nevertheless, removal of foreign bodies might be technically difficult when incarcerated, and surgical treatment is indicated after unsuccessful endoscopic treatment.
机译：气道中以及上消化道中的异物危及生命，需要迅速干预。我们报告了一位44岁的男性患者，他出现了4天的间歇性咳嗽。进行计算机断层扫描，显示位于右主支气管和十二指肠的两个金属异物。通过上消化道内窥镜检查成功地除去了刀片。但是，内镜治疗失败后，刀片的折断端被嵌在右主支气管中，并通过开胸手术将其切除。内窥镜检查（例如柔性/刚性支气管镜检查或胃镜检查）是一种去除异物的首选，因为它具有最小的侵入性。然而，在有监禁的情况下清除异物可能在技术上很困难，并且在内镜治疗失败后需要进行手术治疗。

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