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两岁儿童非进展性尖锐异物的处理

Management of nonprogressive sharp foreign body in a two year old.

作者信息

Bhukebag Prasad M, Sen Amita, Sharma Shilpa

机构信息

Department of General and Minimally Invasive Surgery, Dr Ram Manohar Lohia Hospital, New Delhi, India.

出版信息

Pediatr Emerg Care. 2012 Apr;28(4):370-1. doi: 10.1097/PEC.0b013e31824dca8d.

Abstract

Foreign body (FB) ingestion is a common and potentially serious problem in the pediatric age group. We describe a case of a 2-year-old boy who presented 15 days after ingesting a metallic nail. He was asymptomatic since then, and the FB had not passed spontaneously. Emergency laparotomy was done, and the FB was removed. Spontaneous passage had been inadvertently allowed for 15 days in this case, instead of the recommended 3 days. To our knowledge, this is the first case report of ingested metallic nail not having passed spontaneously after a period of 15 days. Our emphasis on presenting this case report has been on the timely surgical intervention.

摘要

异物吞食在儿童年龄组中是一个常见且可能严重的问题。我们描述了一名2岁男孩的病例,他在吞食金属钉15天后就诊。自吞食后他一直无症状,且异物未自行排出。进行了急诊剖腹手术并取出了异物。在该病例中,无意中允许异物自行排出15天,而不是推荐的3天。据我们所知,这是第一例吞食金属钉15天后仍未自行排出的病例报告。我们呈现此病例报告的重点在于及时的手术干预。

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