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牙科诊疗中的异物误吞

Foreign body ingestion in dental practice.

作者信息

Bhatnagar S, Das U M, Chandan G D, Prashanth S T, Gowda L, Shiggaon N

机构信息

Department of Pedodontics and Preventive Dentistry, Jodhpur Dental College General Hospital, Narnadi, Jodhpur, India.

出版信息

J Indian Soc Pedod Prev Dent. 2011 Oct-Dec;29(4):336-8. doi: 10.4103/0970-4388.86387.

Abstract

Most foreign bodies pass through the gastrointestinal tract uneventfully. The majority of the reported literature describes the management of ingested blunt objects. However, ingestion of sharp objects can still occur with a higher rate of perforation corresponding to treatment dilemmas. We report a case of inadvertently ingested sharp foreign body by a special child, which was retrieved by endoscopic guided forceps. Urgent endoscopic assessment and retrieval of recently ingested sharp dental foreign body is indicated and routine use of preventive measures such as rubber dam, gauze throat screens or floss ligatures is suggested.

摘要

大多数异物可顺利通过胃肠道。大多数已发表的文献描述了对摄入钝性物体的处理。然而,摄入尖锐物体的情况仍可能发生,且穿孔率较高,这带来了治疗难题。我们报告一例特殊儿童意外摄入尖锐异物的病例,该异物通过内镜引导下的钳子取出。对于近期摄入的尖锐牙齿异物,应进行紧急内镜评估和取出,并建议常规使用预防措施,如橡皮障、纱布喉筛或牙线结扎。

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