Successful Management of Airway and Esophageal Foreign Body Obstruction in a Child.

Case Reports in Emergency Medicine Pub Date : 2019-12-24 eCollection Date: 2019-01-01 DOI:10.1155/2019/6858171
Naoki Yogo, Chiaki Toida, Takashi Muguruma, Masayasu Gakumazawa, Mafumi Shinohara, Ichiro Takeuchi
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引用次数: 2

Abstract

Foreign body asphyxia is a serious clinical problem with high morbidity and mortality rates. It is relatively common among children, especially those younger than 3 years, because they have a high risk of aspirating foreign bodies owing to their tendency to place objects in their mouth and lack of a well-developed swallowing reflex. Moreover, the neurologic outcome after out-of-hospital cardiac arrests (OHCA) in pediatric patients remains generally poor. Here, we report an unusual pediatric case of asphyxial OHCA caused by foreign bodies obstructing the airway, complicating esophageal foreign body, with a neurologically favorable outcome. This case highlights the importance of adequate treatment for pediatric patients with OHCA, as well as the prompt and efficient management for pediatric patients with foreign bodies obstructing the airway and esophagus.

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1例儿童气道及食管异物阻塞的成功治疗。
异物窒息是一个严重的临床问题,具有很高的发病率和死亡率。这在儿童中比较常见,尤其是3岁以下的儿童,因为他们有吸入异物的高风险,因为他们倾向于将物体放在嘴里,并且缺乏发达的吞咽反射。此外,儿科患者院外心脏骤停(OHCA)后的神经系统预后仍然普遍较差。在这里,我们报告一个罕见的小儿病例,由异物阻塞气道引起的窒息性OHCA,并发食道异物,具有良好的神经预后。本病例强调了对儿童OHCA患者进行适当治疗的重要性,以及对儿童异物阻塞气道和食道的及时有效处理的重要性。
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