PDF(Pubmed)
Abstract：
Traumatic foreign body aspiration (FBA) in adults is a rare yet potentially life-threatening event that requires prompt recognition and management to prevent adverse outcomes. While less common in adults compared to paediatric populations, traumatic FBA incidents often occur in occupational settings, post-trauma, or during high-risk activities, presenting with acute respiratory symptoms and varying degrees of airway obstruction. Diagnosis can be challenging due to the lack of classic symptoms and the potential for delayed presentation, necessitating a thorough history, a focused physical examination, and appropriate imaging techniques such as computed tomography (CT) and bronchoscopy. Prompt intervention is crucial to mitigating complications such as airway obstruction, pneumothorax, and respiratory compromise. Here, we describe an interesting case of a patient with a road traffic accident who aspirated two teeth and thought he lost them in this process. Surprisingly, two lost teeth were found after undergoing diagnostic procedures for mild shortness of breath, further causing aspiration pneumonitis.
摘要：
成人外伤性异物误吸（FBA）是一种罕见但可能危及生命的事件，需要及时识别和管理以防止不良后果。虽然与儿科人群相比，成年人不太常见，创伤性FBA事件经常发生在职业环境中，创伤后,或在高风险活动中，表现为急性呼吸道症状和不同程度的气道阻塞。由于缺乏经典症状和延迟表现的可能性，诊断可能具有挑战性。需要彻底的历史，有针对性的体检,和适当的成像技术，如计算机断层扫描（CT）和支气管镜检查。及时的干预对于减轻气道阻塞等并发症至关重要，气胸,和呼吸损害。这里,我们描述了一个有趣的案例，一个道路交通事故患者吸了两颗牙齿，并认为他在这个过程中失去了它们。令人惊讶的是,在接受轻度呼吸急促的诊断程序后，发现了两颗脱落的牙齿，进一步导致吸入性肺炎。
