小儿食管异物延误诊断致心包积血伴脓毒症1例  

Pericardial effusion with sepsis caused by delayed diagnosis of esophageal foreign body in a child:one case report

作　　者：邹晨[1] 杨丽君[2] 应力阳[3] 谭征[4] Zou Chen;Yang Lijun;Ying Liyang;Tan Zheng(Department of Surgery,the Children’s Hospital,Zhejiang University School of Medicine,Hangzhou 310052,China;Department of Extracorporeal Circulation and Extracorporeal Life Support,the Children’s Hospital,Zhejiang University School of Medicine,Hangzhou 310052,China;Department of Cardiac Surgery,the Children’s Hospital,Zhejiang University School of Medicine,Hangzhou 310052,China;Department of Thoracic Surgery,the Children’s Hospital,Zhejiang University School of Medicine,Hangzhou 310052,China)

机构地区：[1]浙江大学医学院附属儿童医院手术室,杭州310052 [2]浙江大学医学院附属儿童医院体外循环和生命支持,杭州310052 [3]浙江大学医学院附属儿童医院心脏外科,杭州310052 [4]浙江大学医学院附属儿童医院胸外科,杭州310052

出　　处：《中华胸心血管外科杂志》2023年第11期680-681,共2页Chinese Journal of Thoracic and Cardiovascular Surgery

摘　　要：分析1例患儿因尖锐物体穿透食管引发心包积血。儿童常难以准确表述症状,容易延误诊断。本例起初无明显症状,但以胸痛为首发症状,且胸部CT漏诊,导致延误诊治。食管异物致心包积血需要紧急行手术取出异物,并继续抗感染治疗。早期快速诊断和治疗对避免不良后果至关重要。

关 键 词：早期快速诊断 心包积血 食管异物 延误诊断 胸部CT 抗感染治疗 胸痛 延误诊治 

分 类 号：R768.32[医药卫生—耳鼻咽喉科]