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梨状窝枣核异物相对少见,迄今为止,国内文献尚无专门报道。两年来,作者共遇到6例梨状窝枣核异物,5例食道钡透正常,2例误诊为食管异物,2例误诊为粘膜擦伤,可见误诊率之高。一、典型病例介绍例1.男性,54岁,主诉吃年糕时误咽枣核半天,自觉左侧咽痛,憋气,干呕时唾液中带少许血丝。间接喉镜下见左梨状窝粘膜划伤,有血迹,食道钡透正常,初诊为粘膜擦伤,对症处理后嘱离院观察。两天后病人咽痛加剧,吞咽困难,再次来诊,间接喉镜下见左杓会厌皱襞明显充血肿胀,梨状窝唾液积留,钡餐透视显示左梨状窝有梭形充盈缺损影,经食管镜从左梨状窝取出枣核一枚。例2.女性,41岁,主诉误咽枣核一天,右侧咽痛,吞咽困难。间接喉镜下见右杓会厌皱襞轻度充血肿胀,梨状窝少许唾液积存,右侧胸锁乳突肌前
Pear-shaped nest jujube nuclear foreign body is relatively rare, so far, there is no specific domestic literature. In the past two years, the authors encountered a total of 6 cases of pear-shaped nest date nuclear foreign body, 5 cases of normal barium through the esophagus, 2 cases misdiagnosed as esophageal foreign body, 2 cases misdiagnosed as mucosal abrasions, showing a high rate of misdiagnosis. First, the typical case of a case example 1. Male, 54 years old, complained when eating cakes Yanzuo date core half a day, conscious left sore throat, suffocation, retching saliva with a little bloodshot eyes. Indirect laryngoscopy see left pearloocaval mucosa scratch, blood, barium through the normal esophagus, newly diagnosed as mucosal abrasions, symptomatic treatment was ordered leave the hospital. Two days later, the patient’s sore throat aggravated, swallowing difficulties, re-visit, see the left laryngoscope indirect laryngoscopy obvious hyperemia swelling, saliva accumulation of pear-shaped pits, barium meal perspective left pear-shaped fossa fusiform defect with shadow, through the esophagus Mirror removed from the left pear shaped jujube one. Example 2. Female, 41 years old, complained of wrong pharyngeal nucleus One day, sore throat on the right, difficulty swallowing. Indirect laryngoscopy see the right crape will epiglottis fold mild congestion and swelling, a little salivary popliteal reservoir, the right sternocleidomastoid