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1、七年制医学课件耳鼻喉7食管异物2、Etiology(病因学病因学)(1)Common in children and the elders（老人和儿童常见）(2)Diseases of the esophogus itself（食道本身病变）(3)Foreign body mostly located in the first narrow（第一狭窄常见）(4)Animal foreign bodies are often found（动（动物性异物常见）物性异物常见）Entrance of esophagus（食道入口）（食道入口）3、Clinical Appearance（临床表现）（临床
2、表现）(1)Dysphagia(吞咽困难)(2)Dynphagia or odynophagia(吞咽疼痛)(3)Symptoms of respiratory system(呼吸道症状呼吸道症状)Dyspnea(呼吸困难)Apnea（窒息）(4)limitted activity of the neck 颈部活动受限(5)high fever 发热 (6)inflammation of esophagus 食道穿破感染4、Diagnosis(诊断)(1)The history of swallow sth.(误吞异物史)(2)Clinical symptoms(临床症状)(3)PE（phys
3、ical examination）（体格检查）(4)X-ray:A、Metallic foreign bodies（金属异物）-easily B、fish bone.meat(duck chicken)bone（动物骨肉）-difficult a wisp of barium cotton may be helpful（钡棉透视）(5)Esophagoscopy（食管镜检查）（食管镜检查）lTo examine the esophaguslTo take out the foreign bodiesThe upper rim of the coin is just visible in the
4、 postcricoid regionForeign body,toy key,in cervical esophagusForeign body,cervical esophagus5、Complication（并发症）(1)Perforation or inflamation of the esophagus(食管穿孔或食道炎症)(2)Aerodermectasia or Pneumohypoderma （皮下气肿）(3)Periesophagitis or mediastinitis (食管周围炎或纵隔炎)(4)Breaking-out of great blood vessel (血管破溃血管破溃)(5)Tracheo-esophageal fistula (气管食管瘘气管食管瘘)6、Treatment(治疗治疗)（1）Removal of the foreign body（异物取出术）usually rigid esophagoscopy （通常用硬管）(2)Internal treatment（内科治疗）(3)Management of complication （处理并发症）Thank you 此课件下载可自行编辑修改，仅供参考！此课件下载可自行编辑修改，仅供参考！感谢您的支持，我们努力做得更好！谢谢感谢您的支持，我们努力做得更好！谢谢