Department of Pediatrics, The University of Arizona, Tucson, AZ 85750, USA.
World J Pediatr. 2010 Nov;6(4):301-10. doi: 10.1007/s12519-010-0231-y. Epub 2010 Nov 16.
Foreign body ingestion is a common problem in the pediatric age group. Infants and young children explore objects by putting them in the mouth.
We reviewed the most recent literatures regarding the incidence, clinical presentation, as well as the most recent advances in the diagnostic and therapeutic modalities of foreign body ingestion in children.
In 2007 more than 125 000 foreign body ingestions in patients of 19 years old and younger were reported to American Poison Control Centers in the USA. The majority of ingested foreign bodies pass spontaneously.
Some foreign bodies can be harmful and require evaluation and intervention. The challenge in management is to distinguish the patients who require intervention from those who can be safely observed. In this review we suggest an algorithm for evaluation and management of children suspected to ingest a radiopaque foreign body.
异物吞食是儿童时期的常见问题。婴儿和幼儿通过将物体放入口中来探索物体。
我们回顾了最近关于儿童异物吞食的发病率、临床表现以及诊断和治疗方法的最新进展的文献。
2007 年，美国毒物控制中心报告了超过 125000 例 19 岁及以下患者的异物吞食病例。大多数吞食的异物会自行排出。
有些异物可能有害，需要评估和干预。管理中的挑战是区分需要干预的患者和可以安全观察的患者。在本综述中，我们提出了一种用于评估和管理疑似吞食不透射线异物的儿童的算法。
