上消化道异物
Foreign body in upper digestive tract.
作者信息
Shivakumar A M, Naik Ashok S, Prashanth K B, Yogesh B S, Hongal Girish F
机构信息
Department of E.N.T., Bapuji Hospital J.J.M. Medical College, Davangere, Karnataka, India.
出版信息
Indian J Pediatr. 2004 Aug;71(8):689-93. doi: 10.1007/BF02730655.
OBJECTIVE
Foreign body ingestion is a common clinical problem, encountered in children.
METHODS
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.
RESULT
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.
CONCLUSION
Early removal of these sharp foreign bodies must be considered to reduce the risk of this complication.
目的
异物摄入是儿童常见的临床问题。
方法
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。
结果
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。
结论
必须考虑尽早取出这些尖锐异物以降低该并发症的风险。
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