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患者女,18岁,1990年9月2日,自诉吞服小折叠剪1把,1小时后觉恶心,胸骨后持续性隐痛,吞咽困难来诊。查体温正常,急性痛苦面容焦虑不安。食道钡透见有一金属异物呈斜位置于食道下端近贲门处。即用20%地卡因咽部充分麻醉,肌注阿托品1mg,用前视内镜观察,见折叠剪斜卡在贲门近端,两端已嵌入粘膜,用活检钳钳取2次未成功,改用结肠镜圈套器,经活检孔插入,套住剪刀后,因夹缝多,圈套未能成功。此时见食道粘膜有少量出血,因异物
Female patient, 18 years old, September 2, 1990, private prosecutor swallow a small folding scissors, 1 hour after nausea, persistent pain after sternum, swallowing difficulties to the clinic. Check the body temperature normal, acute painful face anxiety. Barium see through the esophagus there is a metal foreign body oblique position at the esophagus near the cardia at the bottom. That is, full anesthesia with 20% of the cocaine pharynx, intramuscular injection of atropine 1mg, with prospective endoscopic observation, see the folding shear oblique card in the proximal cardiac side, both ends have been embedded in the mucosa, with biopsy forceps to take two unsuccessful, Switch to the colonoscope snare, the biopsy hole inserted, after the scissors nesting, due to more cracks, snare failed. See a small amount of bleeding esophageal mucosa at this time, because of foreign body