 Man's lung tumor turns out to be a toy he swallowed 40 years ago 男人肺里的“肿瘤”原来是他40年前吞下去的一个玩具
那个在男人肺部藏了40年的百乐宝的玩具锥筒，大小相当于2.5毫升的注射器。 (CNN)When doctors performed surgery on a man to remove what they suspected to be a bronchogenic carcinoma, they instead found a toy traffic cone he had swallowed in 1974. (CNN)当医生们进行一个他们怀疑是支气管肺癌的手术时，却在病人的肺里发现了病人在1974年吞食的玩具交通锥筒。 The Playmobil toy cone had gone undetected in the man's right lung for 40 years and was found almost three years ago by Dr. Mohammed Munavvar at the Royal Preston Hospital in the UK, according to a BMJ Case Report published Saturday. 据星期六在“英国医学期刊“上发表的一份病例报告称，这个百乐宝牌的玩具锥筒一直在该男子右肺中，长达40年之久未被发现，直到三年前才被英国皇家普雷斯顿医院的MohammedMunavvar医生发现。 The male patient, now 50 years old, reported that throughout his childhood, he regularly played with, and swallowed, Playmobil toy pieces. On his seventh birthday, back in 1974, he received a Playmobil set, and recalled swallowing the toy cone shortly afterward. 这位现年50岁的男性病人说,他小时经常的玩、并吞下百乐宝玩具片。在1974年，他七岁生日时，他收到了一套百乐宝玩具。他记得那不久他就吞咽了个玩具锥。 At 46 years old, the patient consulted a doctor about a chronic cough that was concerning him. During his first couple months of treatment, he was diagnosed with pneumonia, thickening and stiffness in the right lung, and bronchiectasis, or damage of the breathing tubes. This all meant less air was entering his lungs. 在46岁的时候，这位病人由于他的慢性咳嗽去咨询了一位医生。在他的头两个月的治疗中，他被诊断为有肺炎，而且他的右肺增厚和开始僵硬。同时他不是支气管扩张就是呼吸管损伤。这一切都意味着进入他肺部的空气在减少。 When the patient finally reached Munavvar's clinic at the age of 47, they ran multiple tests, including a CAT scan, and conducted a white light bronchoscopy, a procedure involving the insertion of a scope inside the airways to view the lungs. The doctor noticed extensive shadowing and a thickening lump in the lower right lung. 当病人在47岁的时候终于来到Munavvar的诊所后，他们进行了多项测试，包括CAT扫描,并进行了一个白光支气管镜检查。这个程序需从呼吸道插进一个探测镜，通过探测镜可以查看到他的肺部。医生注意到在他右下肺有一个很大的阴影，同时他们发现有一个加厚的肿块。 These symptoms, along with the spread of a bacterial infection in the pockets of the lower right lung, led his team to believe that the man had a tumor, which needed prompt removal. 这些症状，连同在右下肺的气囊里蔓延的细菌感染，以致他的团队认为该名男子有一个肿瘤，且需要迅速摘除。 "We acted quickly because a bacterial infection could spread to other regions outside of the lungs," said Munavvar. “我们迅速的行动，因为细菌感染可能蔓延到肺部以外的其他部位，”Munavvar说。 The patient underwent surgery, and only after removing the mass was it identified as a Playmobil toy cone that "had been absorbed into the mucosal lining of the bronchial (air passage) which developed around it," explained the case report. 该病例报告解释说，病人接受了手术，但在除去肿块后,才发现它是一个百乐宝玩具锥，而且它”已经被裹在周围的支气管(空气通道)粘膜衬里，支气管围着玩具发育了。 His airway "was able to remodel and adapt to the presence of this foreign body," which is most likely why he did not show symptoms until he was 40, the report said. 报告说，他的气道“能够重塑并适应这种异物的存在”，这很可能是他在40岁前没有出现症状的原因。 Another reason that the cone may have gone unnoticed over time is that it was made of harmless plastic, Munavvar said. He also noted that severe consequences could have developed if the toy cone continued to go unnoticed by doctors. If the airway remained blocked, there would be an increased risk for harsher infections, pneumonia and scarring of the lungs, all of which could contribute to respiratory failure. Munavvar说，随着时间的推移，锥筒可能没有被注意到的另一个原因是因为它是由无害的塑料制成的。他还指出，如果玩具锥筒依旧被医生发现的话，后果可能会很严重。如果呼吸道仍然堵塞，就会意味发生更严重的感染，肺炎和肺部疤痕的风险更高。所有这些都可能导致呼吸衰竭。 The patient also had a long history of smoking, but doctors did not contribute this factor as a possible cause of the infectious symptoms, said Munavvar. Munavvar说，病人也有很长的吸烟史，但医生们并没有把这一因素作为引起感染症状可能的原因。 Four months after the toy was removed from the patient, his cough had almost disappeared and X-rays showed only a minor residual lung infection and irritation, said the report. 该报告称，在从病人体内取出玩具四月后，他的咳嗽几乎消失了，而X光片只显示肺部少量因感染和发炎遗留的残渣。 When a toy goes down a person's breathing tube -- known as tracheobronchial foreign body aspiration -- this is often diagnosed after a week or so, but 1% to 5% of children go undiagnosed for for longer periods of time due to various reasons, including normal examinations and chest X-rays and misdiagnosis, according to the case consultants. 根据这个病例的顾问们说，当一个玩具进入一个人的呼吸道内—被称为气管异物吸入—这通常在一周左右后就会被诊断出来。但是1%到5%的儿童由于各种原因,包括（缺乏）正常的检查和胸部X光，加上误诊，会在很长时间内都无法确诊。 In adults, detection can take much longer, yet only three cases have ever gone undetected for more than 20 years, according to the report. 报道说，在成人当中，检测可能需要更长的时间，但在过去的20年间，也不过只有三个没有被检查出来的病例。 When to seek help 何时需要寻求帮助 When a child or adult swallows a foreign object, such as peanuts, bobby pins, screws, braces wires or toys, the majority of the time it will be excreted naturally. 当小孩或成人吞下异物时，如花生、发夹、螺丝、牙套紧线或玩具，大部分时间这些都会被自然排出。 But "going down breathing tubes is uncommon, it is actually rare," Munavvar noted. However, it is possible that individuals, usually young children, can choke on many foreign objects, causing the them to enter the lung cavity. 但是“顺着呼吸道下去是不多的，实际上这是非常罕见的,”Munavvar说。 然而，有些人，通常是年幼的孩子，可能会被许多异物呛着，导致异物进入肺腔。 “If the child chokes on (an) object and develops a chronic cough, that's when you should worry.” “如果孩子被一个东西呛着并开始染上慢性咳嗽，那你就应该担心了。 Children may not be able to give accurate descriptions of what happened before the cough, nor the symptoms that developed, so it is safest for parents to seek immediate medical attention, said Munavvar. Munavvar说，孩子们可能无法准确描述咳嗽前发生的事情，也不能给出症状，所以父母最安全的方法就是立即就医。 Common symptoms that mimic TFB in children include irritation of the airway, asthma, pneumonia and excess production of mucous. In adults, the syndrome mimics bronchogenic carcinomas, and although difficult to diagnose, Munavvar noted that chronic coughing is a strong indicator of a possible irregularity in the lungs. 在儿童中貌似气管异物吸入的常见症状包括气管刺激、哮喘、肺炎和过量分泌粘液。对于成人，气管异物吸入症状与支气管癌相似。虽然这很难诊断，Munavvar指出，慢性咳嗽是一个很明显的提示，很可能意味着肺部有不正常的状况。 The most important sign of TFB for any adult or child is if they choke on an object and develop chronic coughing. If an adult has a chronic cough but does not recall choking, the symptom is most likely related to something else, said Munavvar. 对于任何成人或儿童来说，气管异物吸入最重要的标志是，如果他们的气管被一个物体卡住，并形成慢性咳嗽。Munavvar说,如果一个成年人患有慢性咳嗽，但不记得呛着什么了，那么症状很可能与其它问题有关。 别犹豫了，你不是在做梦！一天不到三块钱，每天有人陪着提高英语水平！ 《陪读》笔记之——都是语法惹的祸。 |
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