Broken Tip of a Disposable Saliva Ejector as a Bronchial Foreign Body in a Patient With Severe Physical and Intellectual Disabilities.

患有严重身体和智力障碍的患者的一次性唾液注射器尖端断裂作为支气管异物。

• 发表时间: 2023 Dec
• 来源期刊: Cureus
• DOI: 10.7759/cureus.50854
• PMID: 38249272
• 文章类型: Case Reports
• 作者列表: Himeji D,Shiiba R,Tanaka GI,Shimonodan H,Kojima K

关键词: bronchial foreign body; bronchoscopy; foreign body aspiration; saliva ejector; severe physical and intellectual disabilities

Abstract

Oral care for patients with severe physical and intellectual disabilities is important to prevent the development of systemic diseases and maintain or improve their health. Foreign bodies accidentally aspirated into the respiratory tract can cause critical problems. To our knowledge, this is the first case report of aspiration of a broken tip of a disposable saliva ejector in a patient with severe physical and intellectual disabilities. The patient\'s strong bite broke off the ejector\'s tip during oral care. The foreign body was removed by flexible bronchoscopy without any complications. Such cases are sometimes asymptomatic or mildly symptomatic; thus, learning how to appropriately respond is essential for caregivers and family doctors. In addition, this device is widely used in clinical practice, and such risks should be widely known. Moreover, manufacturers should develop more robust equipment for oral care.

摘要

患有严重身体和智力残疾的患者的口腔护理对于预防全身性疾病的发展以及维持或改善其健康非常重要。异物意外吸入呼吸道可能会导致严重的问题。据我们所知,这是严重身体和智力残疾患者一次性唾液喷射器尖端断裂的首例病例报告。在口腔护理过程中，患者的强烈咬伤使喷射器的尖端断裂。通过柔性支气管镜取出异物，无任何并发症。此类病例有时无症状或轻度症状；因此，学习如何适当的反应是至关重要的照顾者和家庭医生。此外,该装置广泛应用于临床实践，这种风险应该广为人知。此外，制造商应该开发更坚固的口腔护理设备。