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摄入异物引起的诊断和治疗问题。

Problems of diagnosis and treatment caused by ingested foreign bodies.

作者信息

Mesina C, Vasile I, Valcea D I, Pasalega M, Calota F, Paranescu H, Dumitrescu T, Mirea C, Mogoanta S

机构信息

2nd Surgical Department, County Clinical Emergency Hospital Craiova, University of Medicine and Pharmacy, Craiova, Romania .

出版信息

Chirurgia (Bucur). 2013 May-Jun;108(3):400-6.

Abstract

An ingested foreign body often passes the gastrointestinal tract without any complications. Foreign bodies, such as fish bones, chicken bones and toothpicks, have been known to cause perforation of the gastrointestinal tract. We present 4 cases: the first 2 of a 27-year-old male and a 48-years-old female respectively, with acute abdomen, diffuse purulent peritonitis, with ileum perforation, both caused by accidentally ingesting a wire, 1 case of a 64-year-old male with sigmoid perforation, caused by accidentally ingesting a toothpick and 1 case of a 52-year-old female presented with left buttock painful swelling for 1 week associated with fever,physical examination revealed an ischiorectal abscess.During incision and drainage a 3 cm chicken bone was found inside the abscess cavity. Evolution was favorable in all 4 cases.

摘要

摄入的异物通常可顺利通过胃肠道而不引发任何并发症。已知诸如鱼刺、鸡骨和牙签等异物可导致胃肠道穿孔。我们报告4例病例:前2例分别为一名27岁男性和一名48岁女性,均因意外吞食铁丝导致急性腹痛、弥漫性化脓性腹膜炎伴回肠穿孔;1例64岁男性因意外吞食牙签导致乙状结肠穿孔;1例52岁女性因左侧臀部疼痛性肿胀1周伴发热就诊,体格检查发现坐骨直肠窝脓肿,在切开引流时于脓肿腔内发现一根3厘米长的鸡骨。所有4例病例病情均好转。

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