Aspiration of a chicken bone nejmicm1713423 (pdf io)

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 [khơng có đáng ý] The foreign body [dị vật] was presumed [phỏng đoán] to have been dislodged [tống 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 highattenuation [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 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 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 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 ... (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]... patient recovered [hồi phục] well after the procedure [thủ thuật] and was discharged home on day Huey Ming Seah, M.B., B.S Marcela Mautone, M.D Monash Health, Clayton, VIC, Australia Original... presentation, computed tomography [chụp cắt lớp vi tính – CT] revealed a highattenuation [hệ số suy giảm cao] structure [cấu trúc] in the shape of a chicken vertebra [đốt sống] in the right mainstem