Shivakumar A M, Naik Ashok S, Prashanth K B, Yogesh B S, Hongal Girish F
Department of E.N.T., Bapuji Hospital J.J.M. Medical College, Davangere, Karnataka, India.
Indian J Pediatr. 2004 Aug;71(8):689-93. doi: 10.1007/BF02730655.
Foreign body ingestion is a common clinical problem, encountered in children.
A total number of 104 patients with ingested foreign body admitted in our hospital are reviewed. Endoscopic removal was done for all foreign objects impacted in esophagus.
In 84.6% cases, history of having swallowed the foreign body was most common symptom. Majority of patients (61.53%) presented within 24 hours after ingestion of foreign body. Coins were the most frequent offending agents in children (87.5%). Seventy six cases of coins were impacted in the postcricoid region. Complications of retropharyngeal abscess was seen in two cases (1.92%), which was associated with sharp foreign body.
Early removal of these sharp foreign bodies must be considered to reduce the risk of this complication.
异物摄入是儿童常见的临床问题。
回顾我院收治的104例异物摄入患者。对所有嵌顿于食管的异物均行内镜取出术。
84.6%的病例中，吞咽异物史是最常见的症状。大多数患者（61.53%）在摄入异物后24小时内就诊。硬币是儿童最常见的致伤物（87.5%）。76例硬币嵌顿于环状软骨后区。2例（1.92%）出现咽后脓肿并发症，均与尖锐异物有关。
必须考虑尽早取出这些尖锐异物以降低该并发症的风险。
