摘要
胸痛是急诊科常见的主诉, 食管异物 (esophageal foreign body, EFB) 的摄入是导致胸痛的重要原因之一, 并可能引起一系列危及生命的情况. 在本文中我们报道了一例病例: 一名 67 岁的中国女性因胸痛入住当地医院, 因患者两年前曾有心肌梗死病史, 当地医院以急性冠脉综合征对症治疗, 然而患者的症状始终不缓解且出现发热, 转至我院后行胸部 CT 提示食管异物伴食管穿孔. 患者紧急接受了内镜下食管异物取出术, 取出一根长约 3 cm 的鸭骨头. 考虑到中国有着多元的饮食文化, 许多中国人习惯啃食鸡骨、 鸭骨和猪骨, 这会大大增加成人食管异物摄入的风险. 本病例旨在提高急诊医师对于食管异物引发胸痛的意识, 并提示了通过及时的内镜下治疗可以大大降低食管溃疡、 食管出血、 肺部感染等并发症的发生风险, 进而改善患者预后, 缩短住院时间.
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Acknowledgments
This work was supported by the Key Research and Development Program of Zhejiang Province (No. 2019C03076), China.
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Chengfan QIN studied the concept and prepared the first draft of the manuscript. Yunmei YANG made critical revisions to the article. Yuanqiang LU checked and confirmed the final version. All authors have read and approved the final manuscript.
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Chengfan QIN. Yunmei YANG. and Yuanqiang LU declare that they have no conflict of interest.
All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2013. Informed consent was obtained from the patient for being included in the study. This study protocol was approved by the Ethics Committee of the First Affiliated Hospital, Zhejiang University School of Medicine (Study ID: 20230164).
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Qin, C., Yang, Y. & Lu, Y. Perforation of the esophagus: an overlooked cause of chest pain as a complication of esophageal foreign bodies. J. Zhejiang Univ. Sci. B 24, 455–457 (2023). https://doi.org/10.1631/jzus.B2300026
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DOI: https://doi.org/10.1631/jzus.B2300026