11个月大儿童的呕血：一种揭示胃内异物的不寻常症状

[Hematemesis in an 11-month-old child: an unusual symptom revealing a foreign body in the stomach].

作者信息

Bocquet N, Guillot L, Mougenot J F, Ruemmele F M, Chéron G

机构信息

Département des urgences pédiatriques, hôpital Necker-Enfants-Malades, Assistance Publique-Hôpitaux de Paris, 149 rue de Sèvres, 75743 Paris cedex 15, France.

出版信息

Arch Pediatr. 2005 Apr;12(4):424-6. doi: 10.1016/j.arcped.2004.12.012.

DOI:10.1016/j.arcped.2004.12.012

PMID:15808432

Abstract

Ingestion of foreign body has often no consequence. We report on a case in an 11-month-old girl who was referred for mild hematemesis and anorexia. Upper digestive tract endoscopy found a small metallic foreign body in the gastric antrum. After its removal, all symptoms disappeared. It is usually recommended to remove foreign bodies by endoscopy when they are in esophageal position, or are more than 3 to 5 cm long, or have a shape that may hurt the gut mucosa. Although rare, a gastric foreign body should be searched for in face of an upper gastrointestinal bleeding in an infant.

摘要

吞食异物通常并无大碍。我们报告一例11个月大女童的病例，该女童因轻度呕血和厌食前来就诊。上消化道内镜检查发现胃窦部有一个小的金属异物。异物取出后，所有症状均消失。通常建议，当异物位于食管部位、长度超过3至5厘米或形状可能损伤肠道黏膜时，通过内镜取出异物。虽然罕见，但婴儿出现上消化道出血时，应排查胃内异物。