儿童意外吞食硬币：若昂二十三世医院耳鼻喉科的处理方法
Accidental ingestion of coins by children: management at the ENT Department of the João XXIII Hospital.
作者信息
T-Ping Cheng, Nunes Cassimiro Afonso, Guimarães Gabriel Rabelo, Vieira João Penna Martins, Weckx Luc Louis Maurice, Borges Tanner José Arantes
机构信息
EPM, UNIFESP, Brazil.
出版信息
Braz J Otorhinolaryngol. 2006 Jul-Aug;72(4):470-4. doi: 10.1016/s1808-8694(15)30992-7.
UNLABELLED
The ingestion of foreign bodies by children is frequently seen in emergency departments. ENTs can manage those lodged in the esophagus but experience is important for a successful intervention.
AIM
Describe seven cases of children that ingested coins, managed at the ENT Department of João XXIII Hospital.
STUDY DESIGN
Clinical/prospective.
MATERIALS AND METHODS
We describe seven cases (gender, age, family status, coin size and treatment/evolution).
RESULTS
Age ranged from one to nine years. Two patients were only children and five were the youngest in their families. Coins sizes ranged from 1.9 to 2.5 cm. After eight hours of observation, three cases were treated in the surgery room because the foreign body was lodged in the cricopharynx. Four cases resolved spontaneously.
CONCLUSION
The ENT department has good results removing coins lodged in the upper esophagus using forceps and laryngoscopy; and also using rigid esophagoscopy for the lower esophagus. In this study it was not possible to establish the importance of coin size and patient age in attempting to predict spontaneous resolution, nor if the child being an only child or the youngest in the family may have some predisposition in this kind of accident.
未标注
儿童吞食异物在急诊科屡见不鲜。耳鼻喉科医生能够处理卡在食管中的异物，但经验对于成功干预至关重要。
目的
描述在若昂二十三世医院耳鼻喉科处理的7例吞食硬币的儿童病例。
研究设计
临床/前瞻性研究。
材料与方法
我们描述了7例病例（性别、年龄、家庭状况、硬币尺寸及治疗/转归情况）。
结果
年龄范围为1至9岁。2例为独生子女，5例是家中最小的孩子。硬币尺寸为1.9至2.5厘米。经过8小时观察，3例因异物卡在环咽肌处而在手术室接受治疗。4例自行排出。
结论
耳鼻喉科使用镊子和喉镜取出卡在食管上段的硬币，以及使用硬式食管镜处理食管下段的硬币，均取得了良好效果。在本研究中，无法确定硬币尺寸和患者年龄在预测自行排出方面的重要性，也无法确定独生子女或家中最小的孩子在这类意外中是否具有某种易感性。
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