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社评“一个添上面二个㖭a”-知识课堂

六旬男子反复一个添上面二个㖭a发热送医 西安医疗团队“肺里拔牙”

来源: 云南日报
2024-12-10 19:12:39

最佳回答

“一个添上面二个㖭a”六旬男子反复一个添上面二个㖭a发热送医 西安医疗团队“肺里拔牙”

  中新一个添上面二个㖭a网西安12月10日电 (党田一个添上面二个㖭a野 郜雅昱)记者10日从西安中医脑病医院获悉,该院重症医学科近期收治一名反复发烧的六旬患者。经检查,最终从该患者肺部取出一颗牙齿,助其转危为安。

  据患者回忆,几个月前,他开始出现反复发热、气短气喘的情况。眼看症状不断加重,家属立即将其送到西安中医脑病医院,收治于重症医学科。

西安中医脑病医院医疗团队正在为患者进行手术。西安中医脑病医院供图

  入院后,该院重症医学科主任毕立杰带领团队对患者进行了检查。通过胸部DR平片发现,患者的右肺下叶有一异物,形状不规则。为了进一步明确异物位置,患者接受了胸部CT三维重建检查,检查可见异物在右肺下叶内带,形状与牙齿极其相近。

  经患者和家属回忆,几个月前,该患者在睡醒后发现嘴里少了一颗牙,但怎么也找不到,以为是睡梦中咽进了肚子,于是赶紧到附近的一家医疗机构检查,但拍了片子却没有看到牙齿。当时,大家都以为是通过大便排掉了,因此没把这件事放在心上,直到如今反复发热,情况严重,才来到西安中医脑病医院治疗。

该患者的胸部CT图。西安中医脑病医院供图

  “虽然还无法确定异物就是牙齿,但当务之急是要将其尽快取出,因为患者的发热等症状,很可能就是肺里的异物造成的。”主治医师薛雪峰表示,在与家属商议,征得同意后,医疗团队对患者进行了纤维支气管镜下异物取出术。

  通过纤维支气管镜检查,镜下可见患者右肺下叶基底段确实有一牙齿嵌顿,通过判断选用纤维支气管镜配套合适网篮,在医护团队的协助下,使用异物网套取出了牙齿,整个过程顺利,患者生命体征平稳。

从患者肺部取出的牙齿。西安中医脑病医院供图

  医务人员表示,患者有长期吸烟史,牙齿上附着有大量的牙菌斑、细菌、真菌等,掉入肺中,长期存在肺里,在翻身等活动下,会与肺部各处反复摩擦,最终引发感染,成为发热、气短气喘的“元凶”。

  据悉,术后,经过抗感染等对症支持治疗,该患者发热、气喘气短等症状消失,最终顺利出院。(完)

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