14=英文 食道异物.ppt

Foreign body in the esophagus anatomy Physical narrows: 1）the entrance of esophagus 2）about the fourth thoratic vertebra 3）about the fifth thoratic vertebra 4）about the tenth thoratic vertebra Etiology 1 common in children and elders 2 Disease of the esophagus itself 3 Foreign body mostly located in the first narrow 4 animal foreign bodies are often found Clinical appearcance Dysphagia Dynphagia or odynophagia Symptoms of respiratory system dyspnea apnea Limitted activity of the neck High fiver Inflammation of esophagus Diagnosis The history of swallow sth Clinical symptoms Phisical examination X-RAY a wisp of barium cotton may be helpful Esophagoscopy the exam the esophagus to take out the foreign bodies complications 1 perforation or inflammation of the esophagus 2 aerodermectasia or pneumohypoderma 3 periesophagitis or mediastinitis 4 breaking-out of great blood vessel 5 tracheo-esophageal fistula 1、removal of the foreign body usually rigid esophagoscopy 2、internal treatment 3、management of complication Foreign body in the esophagus Foreign body in the esophagus Foreign body in the esophagus * * Treatment ： 鸡骨 鱼骨 Foreign body in the esophagus 硬币 Perforation and mediastinitis Foreign body in the esophagus