イカ釣り針による乳児の咽頭異物の１例

DOI 参考文献5件
  • 佐藤 俊秀
    熊本大学医学部附属病院救急部・集中治療部 熊本市立熊本市民病院集中治療部
  • 岡元 和文
    熊本大学医学部附属病院救急部・集中治療部
  • 久木田 一朗
    熊本大学医学部附属病院救急部・集中治療部
  • 菊田 浩一
    熊本大学医学部附属病院救急部・集中治療部
  • 濱口 正道
    熊本大学医学部附属病院救急部・集中治療部
  • 生田 義浩
    熊本大学医学部附属病院麻酔科
  • 中野 幸治
    熊本大学医学部附属病院耳鼻咽喉科

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タイトル別名
  • A Pharyngeal foreign body of a cuttlefish hook in an infant.

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We present a case of pharyngeal foreign body in an infant. A 6-month-old girl whose oropharyngeal space was occupied by a cuttlefish hook, was sent to our intensive care unit. The double-banked, radial needles were stuck in the base of the tongue as well as the middle pharynx and were seen on a roentgenogram. Neither a laryngoscope nor even a small bronchofiberscope could be inserted into the oral space occupied by the foreign body. Prior to transoral removal of the foreign body, tracheostomy was performed. Intravenous anesthesia using ketamine and diazepam combined with the local anesthesia was chosen for the tracheostomy. A small dose of atropine was effective in reducing secretions and maintaining the patency of the upper airway. Induction of anesthesia was followed by isoflurane, nitrous oxide, and oxygen after tracheostomy, then surgery was performed successfully within 90 minutes. Tracheostomy is indicated for a patient in whom endotracheal intubation is difficult to perform. Upper airway management during tracheostomy is the main issue in such a case, especially in an infant with a large pharyngeal foreign body.

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