患者,男,62岁,因“进食鸡肉后吞咽困难1 d”于2013年12月27日入院。1 d前患者进食鸡肉后出现吞咽困难,伴有胸骨后异物感,入院查体:T 36.5℃,P 8次/min,R 17次/min,Bp 159/96 mm Hg,WT 50 kg,患者一般情况可,无发热,无呛咳,无呼吸困难,颈部、胸部后凸畸形,活动受限,口咽部未见明显异常,下咽、喉部暴露欠佳。行胸部X线片检查示食管上端管腔内食物残渣样密度影,脊柱后凸侧弯(图1)。既往史:20余年前曾因外伤导致颈部、胸部后凸,活动受限。入院诊断:食管异物;脊柱后凸伴侧弯畸形。 The patient, male, aged 62, was admitted to hospital on December 27, 2013 because of “difficulty swallowing after eating chicken”. Dyspnea was associated with a retrosternal foreign body sensation on day 1 after the patient had consumed chicken meat, and admission was performed at T 36.5 ° C, P 8 times / min, R 17 times / min, Bp 159/96 mm Hg, WT 50 kg, In general, no fever, no choking, no breathing difficulties, neck, kyphosis, limited mobility, no obvious oropharyngeal abnormalities, hypopharynx, poor laryngeal exposure. Chest X-ray examination showed upper esophageal lumen food residue-like density shadow, kyphosis (Figure 1). Past history: more than 20 years ago, trauma caused by the neck, chest kyphosis, limited mobility. Admission diagnosis: esophageal foreign body; scoliosis with scoliosis.