Dysphagia after Heimlich maneuver.
نویسندگان
چکیده
(CHEST 2004; 125:302–304) A 56-year-old man presented with complaints of dysphagia and shortness of breath for the past 2 days. He denied chest pain, cough, fever, chills, or chest trauma. Ten days prior to hospital admission, the patient was self-treated with the Heimlich maneuver after choking on a piece of candy. The patient had a 120 –pack-year history of smoking and a medical history significant for emphysema. He had been using his inhalers regularly. In the ambulance, the patient received two albuterol nebulizer treatments without relief of his symptoms. Physical examination revealed a tall, thin man who was anxious and dyspneic. He was afebrile, with a pulse of 120 beats/min and a respiratory rate of 24 breaths/min. Oxygen saturation was 88% on room air. Neck examination revealed the trachea deviated to the left and jugular venous distention. Chest examination revealed the patient to be barrel-chested with decreased excursion. Breath sounds were diminished bilaterally with forced expiratory wheezes noted at the bases. Point of maximum intensity was displaced to the xiphoid process. Laboratory findings revealed a normal CBC count and differential. A chest radiograph (Fig 1) showed mild hyperinflation and clear lung fields. The trachea deviated to the left with air under the trachea. There was no evidence of new cardiopulmonary disease when compared to previous radiographs.
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ورودعنوان ژورنال:
- Chest
دوره 125 1 شماره
صفحات -
تاریخ انتشار 2004