胸主动脉覆膜支架腔内隔绝术联合胃镜下食管异物取出术1例诊治体会  

One case of esophageal foreign body treated by thoracic aortic membrane-covered stent implantation combined with gastroscopy procedure

作　　者：曹丽 陈怡[1] 廖光全 丁帅 程才[2] 袁正林 

机构地区：[1]华中科技大学同济医学院附属同济医院消化内科,武汉430030 [2]华中科技大学同济医学院附属同济医院心脏大血管外科 [3]华中科技大学同济医学院附属协和医院口腔科

出　　处：《临床急诊杂志》2018年第1期61-63,共3页Journal of Clinical Emergency

基　　金：国家自然科学基金(No:81700955);湖北省自然科学基金(No:2017CFB243)

摘　　要：1病例资料 患者,男,48岁,因误食异物6h入院。患者于当日中午进食鱼面后自觉胸骨后异物感,伴胸痛、吞咽困难,无咳嗽、咳痰、呕血、呼吸困难,于当地医院就诊,行胸部CT提示：食管（主动脉降部）片状高密度影,长约4.5cm,直径约0.2cm,异物可能,异物邻近胸主动脉壁,不除外刺入胸主动脉可能（图1a）。Dietary foreign bodies in esophagus is a common emergency of digestive diseases.It can cause serious complications such as esophageal perforation,hemorrhage,mediatinal abscess and even death.Here we share one case of patient with an esophageal foreign body which was finally successfully taken out through the thoracic aortic membrane-covered stent implantation followed the endoscopic procedure,thus providing the treatment experiences for the similar cases.

关 键 词：胸主动脉 覆膜支架 胃镜 食管异物 

分 类 号：R571[医药卫生—消化系统]