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患者男性,78岁,离休干部。1984年3月25日下午因服藿胆丸,误将直径27毫米、高14毫米的塑料瓶盖吞进食道,服药后即感吞咽困难。次日去某医院就诊,因未提及有关病史,经对症处理,未愈。3月28日去另一医院就诊,仍未发现食管异物,于3月29日上午来本院就诊,经食道钡透发现颈部食管有一巨大园形异物影,内有黄豆大充盈缺损六枚。追问病史,并取藿胆丸瓶盖与X线片上园形异物影相比,两者大小形状无差异。患者一般情况尚好。下午3时在纤维胃镜直视下发现白色塑料瓶盖滞留于食管内,以活检钳夹取多次滑脱(当时我院尚无胃镜用有齿钳),取异物未获成功,即转院治疗。下午六时半至某医院时,发现已有皮下气肿及全身中毒症状,胸片证实有纵隔气肿、
Male patient, 78 years old, retired cadres. March 25, 1984 due to service ephedra gall bladder, mistakenly diameter 27 mm, 14 mm high plastic bottle cap swallowing the esophagus, swallowing difficulty taking medication. The next day to a hospital for treatment, because no mention of the history, the symptomatic treatment, healed. March 28 to another hospital for treatment, has not yet found esophageal foreign body, came to our hospital on the morning of March 29, found through the esophageal barium through the neck esophagus has a large round foreign body shadow, there are six large filling defects in soy beans . Questioning the medical history, and taking captopril cap X-ray film on Park compared with the Park, both the shape and size of no difference. The general condition of patients is still good. At 3:00 PM, a white plastic cap was found in the esophagus under direct vision of the fibrous gastroscope. A biopsy forceps was used to take multiple spondylolisthesis. At that time, there was no gastroscope with a toothache in our hospital. The foreign body was unsuccessful and was referred to the hospital for treatment. At half past six in the afternoon to a hospital, found that there have been symptoms of subcutaneous emphysema and systemic poisoning, chest X-ray confirmed mediastinal emphysema,