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鼻咽异物临床上少见,容易漏诊和误诊。作者曾遇五例鼻咽异物,报告如下。 [例1]男,5岁。因口含顶针,其母用手挖取,未取出,口内异物消失2h来诊,开始怀疑食道异物,经胸腹透视未见异物,后经后鼻镜检查,见异物停留鼻咽部,用鼻咽异物钳经口取出。 [例2]男,54岁。午睡时他人将一长约4.5cm铁丁经鼻腔放入1h来诊。检查见铁钉帼嵌在后鼻孔处,尖端指向口咽。用鼻咽异物钳经口取出。 [例3]男,9岁。因鼻塞、睡眠打鼾半年,在外院检查疑鼻咽肿物未确诊转我院。来院经纤维鼻咽镜检查见鼻烟后壁中部有一横行表面有大量脓性分泌物的块状物,吸后呈横棍状,前后有空隙,疑为异物。经详细追问病史,了解到半年前患儿在山上玩耍时不慎跌倒,一蒿茎从右侧颈部刺入,自行拔出,伤口半月后愈合。此期
Nasopharyngeal foreign bodies are rare in clinical practice and are easily missed and misdiagnosed. The author encountered five cases of nasopharyngeal foreign body, the report is as follows. [Example 1] Male, 5 years old. Due to the presence of an thimbles in the mouth, the mother’s hand was used to dig it out without removing it. The foreign matter in the mouth disappeared for 2h. The patient began to suspect foreign body in the esophagus. No foreign body was seen through the thoracoabdominal fluoroscopy. After the endoscopic examination, the foreign body stayed in the nasopharynx. The nasopharyngeal foreign body clamp was taken out through the mouth. [Example 2] Male, 54 years old. When nap, others put a 4.5cm long iron nasal cavity into the nose for 1h. Check that the nail is embedded in the posterior nostril and the tip is pointing to the oropharynx. Use nasal pliers to remove the mouth through the clamp. [Example 3] Male, 9 years old. Due to nasal congestion, sleep and snoring for six months, the examination of suspected nasopharyngeal mass in the outer hospital was not confirmed and transferred to our hospital. After going to the hospital for fiberoptic nasopharyngeal examination, the middle part of the posterior wall of the snuff showed a mass of purulent secretions on the surface of the posterior wall of the snuff. After suction, it appeared as a horizontal stick, with gaps before and after, and it was suspected as a foreign body. After a detailed questioning of the medical history, I learned that when a child was playing in the mountains six months ago, she accidentally fell. An artemisia stem penetrated from the right side of the neck and was pulled out. The wound healed after half a month. This period