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通过吞食异物进行自我伤害——消化穿孔的罕见原因。

Self harm through foreign bodies ingestion - rare cause of digestive perforation.

作者信息

Petrea S, Brezean I

机构信息

"I. Juvara" Surgery Clinic, "Dr. I. Cantacuzino" Hospital, Bucharest.

出版信息

J Med Life. 2014 Jun 15;7(2):246-53. Epub 2014 Jun 25.

PMID:25408734
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4197482/
Abstract

Self-harm is a rare pathology, often seen in psychiatric patients but more frequently in the penitentiary environment. Of the many possible forms of self-harm, foreign bodies (FB) ingestion is by far the most usual in the Romanian prison environment. The paper aims to present the diagnostic and therapeutic aspects arising as a consequence of the digestive tract perforations consequent upon foreign bodies ingestion; a number of 45 cases which occurred over a 7-year period (2003-2010) in "Rahova" Penitentiary Hospital, were analyzed. We also examined the surgical particularities of case resolution.

摘要

自残是一种罕见的病症，常见于精神科患者，但在监狱环境中更为频发。在众多可能的自残形式中，吞食异物在罗马尼亚监狱环境中是最为常见的。本文旨在介绍因吞食异物导致消化道穿孔所引发的诊断和治疗方面的问题；对“拉霍瓦”监狱医院在7年期间（2003 - 2010年）发生的45例病例进行了分析。我们还研究了病例解决过程中的手术特点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fff9/4197482/d853efb06e0f/JMedLife-07-246-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fff9/4197482/88c50cb1b779/JMedLife-07-246-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fff9/4197482/b2765010eed4/JMedLife-07-246-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fff9/4197482/fa27884e25a6/JMedLife-07-246-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fff9/4197482/f582fdc57465/JMedLife-07-246-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fff9/4197482/20677f80c151/JMedLife-07-246-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fff9/4197482/08e2b3eb85f2/JMedLife-07-246-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fff9/4197482/d853efb06e0f/JMedLife-07-246-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fff9/4197482/88c50cb1b779/JMedLife-07-246-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fff9/4197482/b2765010eed4/JMedLife-07-246-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fff9/4197482/fa27884e25a6/JMedLife-07-246-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fff9/4197482/f582fdc57465/JMedLife-07-246-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fff9/4197482/20677f80c151/JMedLife-07-246-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fff9/4197482/08e2b3eb85f2/JMedLife-07-246-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fff9/4197482/d853efb06e0f/JMedLife-07-246-g007.jpg

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本文引用的文献

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Successful endoscopic removal of a swallowed toothbrush: case report.内镜成功取出吞食牙刷：病例报告。
Case Rep Gastroenterol. 2011 Apr 6;5(1):122-4. doi: 10.1159/000326962.
2
Endoscopic removal of multiple duodenum foreign bodies: An unusual occurrence.内镜下取出多个十二指肠异物：一种罕见情况。
World J Gastrointest Endosc. 2010 May 16;2(5):186-9. doi: 10.4253/wjge.v2.i5.186.
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Surgical removal of a tea spoon from the ascending colon, ten years after ingestion: a case report.摄入十年后从升结肠手术取出一把茶匙：病例报告
Cases J. 2009 Sep 9;2:7532. doi: 10.4076/1757-1626-2-7532.
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Successful management of an iatrogenically-ingested sharp foreign body.
Ann Acad Med Singap. 2008 Nov;37(11):980-1.
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Surgical intervention for gastrointestinal foreign bodies in adults: a case series.成人胃肠道异物的手术干预：病例系列
Med Princ Pract. 2008;17(4):276-9. doi: 10.1159/000129605. Epub 2008 Jun 3.
6
Surgically treated perforations of the gastrointestinal tract caused by ingested foreign bodies.因吞食异物导致的胃肠道穿孔的手术治疗
Colorectal Dis. 2008 Sep;10(7):701-7. doi: 10.1111/j.1463-1318.2007.01401.x. Epub 2007 Nov 12.
7
A review of gastrointestinal foreign bodies.胃肠道异物综述。
Int J Clin Pract. 2006 Jun;60(6):735-9. doi: 10.1111/j.1368-5031.2006.00709.x.
8
Small-bowel perforation caused by fish bone.鱼骨导致的小肠穿孔
World J Gastroenterol. 2005 Mar 28;11(12):1884-5. doi: 10.3748/wjg.v11.i12.1884.
9
Liver abscess secondary to a broken needle migration--a case report.断针移位继发肝脓肿——病例报告
BMC Surg. 2003 Oct 7;3:8. doi: 10.1186/1471-2482-3-8.
10
Intestinal perforation by foreign bodies.异物所致肠穿孔
Eur J Surg. 2000 Apr;166(4):307-9. doi: 10.1080/110241500750009140.