Loh K S, Tan L K, Smith J D, Yeoh K H, Dong F
Department of Otolaryngology, National University Hospital, Singapore.
Otolaryngol Head Neck Surg. 2000 Nov;123(5):613-6. doi: 10.1067/mhn.2000.110616.
Major complications of foreign bodies in the esophagus carry significant morbidity and mortality risks. A retrospective case control study was performed to assess the factors associated with major complications. In total, 273 patients seen within a 7-year period were divided into 2 groups; 253 had no or minor complications, and 20 had major complications. Age, sex, duration of the foreign body, total white cell count (TWC), and nature and site of the foreign body were analyzed in the 2 groups. The major complication rate was 7.3%. Duration of the foreign body and TWC were the only statistically significant factors associated with major complications. Six patients required open neck exploration, 1 had an open thoracotomy, and 13 were treated by endoscopic removal. There were 2 deaths. Given the significant morbidity and mortality risks, we conclude that patients with a prolonged history of a foreign body in the esophagus and a raised TWC should be treated urgently.
食管异物的主要并发症具有显著的发病和死亡风险。进行了一项回顾性病例对照研究以评估与主要并发症相关的因素。在7年期间共诊治的273例患者被分为两组；253例无并发症或有轻微并发症，20例有主要并发症。对两组患者的年龄、性别、异物存留时间、白细胞总数（TWC）以及异物的性质和部位进行了分析。主要并发症发生率为7.3%。异物存留时间和TWC是与主要并发症相关的仅有的具有统计学意义的因素。6例患者需要行颈部切开探查术，1例需要开胸手术，13例通过内镜取出治疗。有2例死亡。鉴于存在显著的发病和死亡风险，我们得出结论，食管异物存留时间长且TWC升高的患者应紧急治疗。
