资源有限环境下成人意外吞服瓶盖：一例病例报告

文献信息

中文摘要

背景： 成人吞服异物可能因嵌顿部位和异物性质而危及生命。我们报告一名53岁男性，在用牙齿打开加压重复使用的饮料瓶时意外吞下瓶盖。他表现为流涎、吞咽困难、咽喉疼痛和异物感。方法：X线平片未能识别该透X线异物，但排除了气道受累。直接喉镜检查发现异物嵌顿于环咽开口，并在全身麻醉下使用Magill钳成功取出。结果：患者恢复顺利，无并发症。结论：本报告展示了一种在资源有限环境下对直接可视化的上段食管异物采取务实处理方法。

英文摘要

Foreign body ingestion in adults may become life-threatening depending on the site of impaction and the nature of the object. We report a 53-year-old man who accidentally ingested a bottle top while opening a pressurized reused beverage bottle with his teeth. He presented with drooling of saliva, dysphagia, throat pain, and foreign body sensation. Plain radiographs failed to identify the radiolucent foreign body but excluded airway involvement. Direct laryngoscopy identified the foreign body impacted at the cricopharyngeal opening, and successful removal was achieved using Magill forceps under general anesthesia. The patient recovered without complications. This report illustrates a pragmatic management approach for a directly visualized upper esophageal foreign body in a resource-limited setting.