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食道钡絮透视(简称钡透)虽是咽和食道内异物常规检查方法,但实践证明很容易漏诊。本文报告2例食道阴性,后经咽和食道上段软组织侧位片(简称侧位片)诊断为含钙类异物,并经食道镜证实。例1,女,53岁。误入鱼刺3小时,钡透阴性。侧位片示颈7～胸1椎体前方一2.3×0.2cm大小弧形含钙类异物(图1)。因第一次食道镜未发现异物,故重新摄片仍呈上述表现。二次食道镜发现距食道上裂口约2.4cm的左后壁有一纵行异物,两端刺入壁内较深,取出为3×0.1cm大小“S”形鱼刺。
Pancreatic barium fluoroscopy (Barium) is a routine inspection of foreign body in the pharynx and esophagus, but practice proved very easy to miss. This article reports 2 cases of esophageal negative, after the pharyngeal and esophageal soft tissue lateral radiographs (referred to as lateral radiographs) diagnosed as calcium-containing foreign body, confirmed by the esophagus. Example 1, female, 53 years old. 3 hours into the fishbone, barium-negative. Lateral films show the neck 7 ~ chest 1 anterior 2.3 centimeters of an arc of calcium-like foreign bodies (Figure 1). Because of the first glimpse found no foreign bodies, so re-radiography still showed the above performance. Secondary esophagoscopy found about 2.4cm away from the esophageal gap on the left posterior wall of a longitudinal foreign body, piercing the wall at both ends of the deeper, remove the size of 3 × 0.1cm “S” shaped fishbone.