Aspiration of a chicken bone nejmicm1713423 (pdf io)

Aspiration of a Chicken BoneHuey Ming Seah, M.B., B.S., and Marcela Mautone, M.D.. had come to the emergency department with the sensation [cảm giác] of having a foreign body [dị vật, vậ

Aspiration of a Chicken Bone

Huey Ming Seah, M.B., B.S., and Marcela Mautone, M.D May 3, 2018 N Engl J Med 2018; 378:e25 DOI:

10.1056/NEJMicm1713423

A 78-year-old man presented [nhập viện] to the emergency department [khoa cấp cứu] with stridor [thở rít], shortness of breath [khó thở], and fever [sốt] (38.1°C) Five days earlier, he

had come to the emergency department with the sensation [cảm giác] of having a foreign

body [dị vật, vật lạ] in his throat [họng],

approximately an hour after a choking [nghẹt (tắt)] episode that had occurred while he was eating chicken At that time, the physical

examination [thăm khám lâm sàng] and plain radiographs [phim X quang thường] of the neck [cổ] and chest [ngực] were unremarkable

[không có gì đáng chú ý] The foreign body [dị vật] was presumed [phỏng đoán] to have been dislodged [tống ra ngoài], and the patient [bệnh nhân] was discharged [xuất viện] home At the current presentation, computed tomography [chụp cắt lớp vi tính – CT] revealed a

high-attenuation [hệ số suy giảm cao] structure [cấu trúc] in the shape of a chicken vertebra [đốt

sống] in the right mainstem bronchus [phế

quản chính] (arrow) There was minor [nhỏ]

atelectasis [xẹp phổi] in the right lower lobe

[thùy dưới phải] without evidence [bằng chứng]

of lobar collapse [xẹp thùy] Foreign bodies

more commonly become lodged [mắc kẹt] in the right side [phía bên phải] of the bronchial tree [cây phế quản] than in the left because of its more vertical path [đường đi dọc] and wider lumen [lòng ống rộng hơn] Delayed

presentation [nhập viện chậm trễ] because of minor symptoms [triệu chứng] can lead to

inflammation [viêm] and infection [nhiễm

trùng] Bronchoscopy [soi phế quản] was

performed [thực hiện], and the chicken bone [xương gà] was successfully removed [loại bỏ] The patient recovered [hồi phục] well after the procedure [thủ thuật] and was discharged

home on day 3

Huey Ming Seah, M.B., B.S Marcela Mautone, M.D.

Monash Health, Clayton, VIC, Australia Original link: https://www.nejm.org/doi/full/10.1056/NEJMicm1713423