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[病例报告]Unlucky . . . unlucky . . .
作者: 来源: 阅读次数: 发表日期:2010/11/23 11:12:12

    A 52-year-old man with no medical history consulted his dentist for prosthetic surgery. During the procedure the dentist dropped the screw of the prosthesis. The patient did not cough or report any discomfort. He went back home for lunch but presented in the afternoon in our emergency department, on the advice of his dentist, to have a chest radiograph. The screw was in a distal bronchus of the right lung (figure, top). The patient had rigid bronchoscopy under anaesthesia with spontaneous breathing. The otorhinolaryngeal surgeon could not see the screw even when using a thin fibrescope. We reversed the anaesthesia so that a pneumologist could examine the patient, but the patient took a long time to regain consciousness and coughed so much on doing so, that we suspected an inhalation syndrome. A second chest radiograph showed that the screw had moved to the opposite lung (figure, bottom). Fibroscopic extraction was done the next day and the patient went home.

Lancet 2005; 365: 680

Jean-Christophe Cejka, Guillaume Gautier

Department of Anesthesiology
(J-C Cejka PhD), and
Department of Radiography
(G Gautier MD) Edouard Hérriot
Hospital, Lyon, France
Correspondence to:
Dr Jean-Christophe Cejka
jc.cejka@free.fr