Schwartz G F, Polsky H S
Am Surg. 1976 Apr;42(4):236-8.
Seven case reports of ingested foreign bodies are presented. Although ingestion of foreign bodies may be a frequent occurrence, 80 per cent of documented ingested foreign bodies pass through the gastrointestinal tract spontaneously. The most frequent victims of foreign body ingestion are children, denture-wearing adults, and the mentally ill. Most foreign bodies are best managed by "intelligent neglect". Some require surgical removal because of perforation hemorrhage or obstruction. The ileocecal region is the most common site for perforation. Close observation for signs of perforation, hemorrhage, and/or obstruction is mandatory.
本文呈现了7例异物摄入的病例报告。尽管异物摄入可能经常发生，但有记录的异物摄入中80%会自行通过胃肠道。异物摄入最常见的受害者是儿童、戴假牙的成年人和精神病患者。大多数异物最好通过“明智的忽视”来处理。有些由于穿孔、出血或梗阻需要手术取出。回盲部是最常见的穿孔部位。必须密切观察穿孔、出血和/或梗阻的迹象。
