{"id":25827,"date":"2024-06-03T04:52:00","date_gmt":"2024-06-02T20:52:00","guid":{"rendered":"http:\/\/csccm.org.cn\/?p=25827"},"modified":"2024-06-03T08:26:19","modified_gmt":"2024-06-03T00:26:19","slug":"nejm%e4%b8%b4%e5%ba%8a%e5%8c%bb%e5%ad%a6%e5%bd%b1%e5%83%8f%ef%bc%9a%e6%b0%94%e9%81%93%e4%b8%ad%e7%9a%84%e7%a1%ac%e5%b8%81","status":"publish","type":"post","link":"https:\/\/csccm.org.cn\/?p=25827","title":{"rendered":"[NEJM\u4e34\u5e8a\u533b\u5b66\u5f71\u50cf]\uff1a\u6c14\u9053\u4e2d\u7684\u786c\u5e01"},"content":{"rendered":"\n

A Coin in the Airway<\/h1>\n\n\n\n

Victor Bor-Chang Hsue, Vijay Patel<\/h3>\n\n\n\n

N Engl J Med 2024; 390: e33<\/h3>\n\n\n\n

DOI: 10.1056\/NEJMicm2312266<\/h3>\n\n\n\n
\"\"\/<\/figure>\n\n\n\n

A healthy 14-year-old boy presented to the emergency department with a 6-hour history of hoarseness and difficulty swallowing after having accidentally swallowed a coin. On physical examination, the patient was breathing comfortably without stridor or drooling. Radiographs of the chest (Panel A, posteroanterior view) and neck (Panel B, lateral view) showed a rounded, radiopaque foreign object situated vertically within the subglottis (the region between the vocal cords and the trachea). A diagnosis of foreign-body aspiration was made. Accidentally ingested foreign bodies usually end up in the esophagus. When aspirated into the airway by older children, foreign bodies typically lodge more distally than in this case (in the trachea or a mainstem bronchus), owing to gravity and the larger airway size. Airway foreign bodies \u2014 especially those in the trachea and larynx \u2014 necessitate immediate removal to reduce the risk of respiratory compromise. Rigid bronchoscopy was performed while the patient was under general anesthesia, and a U.S. quarter was visualized within the subglottis and removed with optical forceps (Panel C and\u00a0Video 1<\/a>). On reinspection of the airway, mild subglottic mucosal ulceration due to the mass effect of the coin was seen (Panel D, asterisks, and\u00a0Video 2<\/a>). After the procedure, the patient\u2019s symptoms abated and he was discharged home.<\/p>\n\n\n\n

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A Coin in the Airway Victor Bor-Chang Hsue, V […]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[16,13],"tags":[],"_links":{"self":[{"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/posts\/25827"}],"collection":[{"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=25827"}],"version-history":[{"count":2,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/posts\/25827\/revisions"}],"predecessor-version":[{"id":25831,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/posts\/25827\/revisions\/25831"}],"wp:attachment":[{"href":"https:\/\/csccm.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=25827"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=25827"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=25827"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}