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Conservative management of razor blade ingestion

机译:剃须刀摄入的保守管理

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摘要

A 30-year-old woman presented to the emergency department complaining of abdominal discomfort. An abdominal radiograph was done, revealing ten rectangular razor blades measuring 5 × 2 cm. The patient was taken to the operating room and a flexible esophago-gastroduodenoscopy was performed. Attempts at retrieval, using both a gastric overtube and an inverted hood, were unsuccessful due to the shape and size of the blades. She was transferred to a regular medical floor and managed conservatively with serial abdominal radiographs. Over the next week, she passed the razor blades transanally without further event—all were still wrapped in paper and chewing gum—and was cleared to be discharged home.
机译:一名30岁的妇女因腹部不适而到急诊科就诊。做了腹部X光片,显示出10个尺寸为5×2 cm的矩形剃须刀。患者被带到手术室,并进行了柔性食管胃十二指肠镜检查。由于叶片的形状和大小,尝试同时使用胃套管和倒置罩进行取回均未成功。她被转移到常规的医疗楼层,并通过腹部腹部X线照片进行保守治疗。在接下来的一周中,她经肛门通过了剃须刀,没有任何其他事件-所有刀片仍包裹在纸和口香糖中-并且被清理出院。

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