Shivakumar A M, Naik Ashok S, Prashanth K B, Hongal Girish F, Chaturvedy Gaurav
Department of E.N.T., Bapuji Hospital, J.J.M. Medical College, 577 004 Davangere, Karnataka India.
Indian J Otolaryngol Head Neck Surg. 2006 Jan;58(1):63-8. doi: 10.1007/BF02907744.
Foreign body ingestion is a common problem frequently encountered in both children and adults. A total number of 152 patients (104 children and 48 adults) with ingested foreign body admitted in our hospital are reviewed. Location of foreign body was made out by radiological examination. History of having swallowed foreign body was the most common symptom in both blunt and sharp foreign bodies. Endoscopic removal of foreign body was done under general anaesthesia for all cases, except one in which foreign body was removed by open surgical method. Blunt, foreign bodies were common among children, where as meat with bone was common in adults (19/48). Most of blunt foreign bodies in children (83.5%) were impacted in post cricoid region. Where as in adutls, the foreign bodies (37.5%) were seen in upper oesophagus. Retropharyngeal abscess was seen in 2 cases, which was associated with sharp foreign bodies. In all but one, endoscopic removal was successful. In one case denture impacted in post cricoid region was removed by open surgical method. There was no mortality in our series.
异物摄入是儿童和成人中经常遇到的常见问题。本文回顾了我院收治的152例（104例儿童和48例成人）异物摄入患者。通过放射学检查确定异物位置。吞食异物史是钝性和尖锐异物最常见的症状。除1例采用开放手术方法取出异物外，所有病例均在全身麻醉下进行内镜下异物取出术。儿童中钝性异物常见，而成人中带骨肉类常见（19/48）。儿童中大多数钝性异物（83.5%）嵌顿于环状软骨后区域。而在成人中，异物（37.5%）见于食管上段。2例出现咽后脓肿，与尖锐异物有关。除1例以外，内镜下取出均获成功。1例嵌顿于环状软骨后区域的假牙采用开放手术方法取出。本系列病例无死亡病例。
