Lin Mao-Tsair, Yeung Chun-Yan, Lee Hung-Chung, Sheu Jin-Cherng, Wang Neng-Lu, Lee Kuo-Sheng
Department of Pediatrics, Mackay Memorial Hospital, No. 92, Sec. 2, Chung Shan North Road, Taipei, Taiwan.
Acta Paediatr Taiwan. 2003 Sep-Oct;44(5):269-73.
Ingestion of foreign bodies occurs frequently in children, but there are no definite management guidelines. We reviewed 42 pediatric cases of accidental ingestion of foreign bodies with or without symptoms during the past 10 years. In decreasing order of frequency, the foreign bodies included: coins, sharp objects (needle, pin), bones (fish and chicken bone), metal object, food, seeds, plastic material, magnets, jewelry ring, and others. The majority of children were 5 years old or younger. At the time of presentation, the vast majority of objects were located in the esophagus. Sixty percent of the patients had symptoms, such as abdominal pain, vomiting and cough. Management included observation, esophagoscopy, panendoscopy, and laparotomy. Four patients (9.5%) had complications. One patient who ingested a magnet suffered from esophageal perforation with mediastinitis. Two had deep neck abscess due to esophageal penetration by bones. Another patient had hemorrhagic gastritis after swallowing a coin. All patients discharged after treatment, and none died.
儿童经常发生异物摄入情况，但目前尚无明确的处理指南。我们回顾了过去10年中42例儿童意外摄入异物的病例，这些病例有无症状表现。按出现频率从高到低排列，异物包括：硬币、尖锐物体（针、大头针）、骨头（鱼骨和鸡骨）、金属物体、食物、种子、塑料材料、磁铁、戒指及其他。大多数儿童年龄在5岁及以下。就诊时，绝大多数异物位于食管。60%的患者有症状，如腹痛、呕吐和咳嗽。处理方法包括观察、食管镜检查、全内镜检查和剖腹手术。4例患者（9.5%）出现并发症。1例摄入磁铁的患者发生食管穿孔并伴有纵隔炎。2例因骨头穿透食管导致颈部深部脓肿。另1例患者吞下硬币后出现出血性胃炎。所有患者经治疗后出院，无死亡病例。
