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男,9岁。因误吞墨鱼骨4天伴胸痛,吞咽困难就诊。咽喉部检查无阳性发现。食道吞钡透视未见明显异物。因主诉症状较剧,故再次会同放射科在电视荧屏下直视检查,示钡剂停留于食管中段。静脉滴注抗生素及补液后,全麻下行食管镜检。于距上齿26cm处可见少量白色分泌物,吸净后即消失,除该处粘膜稍肿胀外,无异物及其他发现。检查顺利。嗣后,患者一般情况好,留观察室并继续用抗生素。次日上午再次食管吞钡检查,见食道中下段有散在小点状钡剂滞留,考虑食道擦伤可能。
Male, 9 years old. Due to the swallowing of fish bone 4 days with chest pain, swallowing difficulties treatment. No positive findings in throat examination. Barium swallow esophagus no obvious foreign body. Because of the main complaint symptoms more drama, so once again with radiology in the TV screen under direct inspection, showed barium remain in the middle of the esophagus. Intravenous infusion of antibiotics and rehydration, under general anesthesia esophageal microscopy. At a distance of 26cm away from the teeth visible a small amount of white secretions, net absorption disappear, except where the mucosa slightly swollen, no foreign body and other findings. Check well. Subsequently, the patient generally good, stay observation room and continue to use antibiotics. The next morning esophageal barium swallow again check, see the lower esophagus scattered barium-containing small scattered, consider the possibility of esophageal abrasion.