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自行摄入的十二指肠异物——观察期待还是手术处理？

Self-ingested intraduodenal foreign bodies--expectancy or surgical sanction?

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 Sep 15;7(3):421-7. Epub 2014 Sep 25.

PMID:25408769
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4233453/
Abstract

Self-harm is a frequent pathology amongst psychiatric patients and in the penitentiary environment. Multiple self-aggression types are described, but, by far, the practice most frequently met inside the Romanian penitentiary environment is foreign body (FB) ingestion. The paper aims to show aspects pertaining to the presence of intraduodenal foreign bodies, both in simple cases and in cases that ended with a perforation, using a number of 47 cases registered between 2003 and 2010 in "Rahova" Penitentiary Hospital. The paper also focused on particular aspects linked to intraduodenal foreign body surgical accessibility.

摘要

自残是精神科患者以及监狱环境中常见的病症。人们描述了多种自我攻击类型，但到目前为止，罗马尼亚监狱环境中最常出现的行为是吞食异物。本文旨在通过“拉霍瓦”监狱医院在2003年至2010年间登记的47例病例，展示十二指肠内异物存在的相关情况，包括单纯病例和以穿孔告终的病例。本文还关注了与十二指肠内异物手术可及性相关的特殊方面。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b84/4233453/9fc8d58829b3/JMedLife-07-421-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b84/4233453/36275f0451d1/JMedLife-07-421-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b84/4233453/2c4e250b78f7/JMedLife-07-421-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b84/4233453/28ab2a555cfa/JMedLife-07-421-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b84/4233453/9fc8d58829b3/JMedLife-07-421-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b84/4233453/36275f0451d1/JMedLife-07-421-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b84/4233453/2c4e250b78f7/JMedLife-07-421-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b84/4233453/28ab2a555cfa/JMedLife-07-421-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b84/4233453/9fc8d58829b3/JMedLife-07-421-g004.jpg

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本文引用的文献

1
Self harm through foreign bodies ingestion - a rare cause of digestive perforation.通过吞食异物进行自我伤害——消化穿孔的罕见原因。
J Med Life. 2014 Mar 15;7(1):67-74. Epub 2014 Mar 25.
2
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.
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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。
儿童因吞食指甲导致十二指肠结肠瘘
J Surg Case Rep. 2020 Aug 24;2020(8):rjaa187. doi: 10.1093/jscr/rjaa187. eCollection 2020 Aug.
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Sealed Duodenal Perforation by nail ingestion in a Child.儿童吞食钉子导致十二指肠穿孔封闭
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A rare cause of gastric obstruction: Lighters swallowing.胃梗阻的罕见病因：吞入打火机。
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Med Princ Pract. 2008;17(4):276-9. doi: 10.1159/000129605. Epub 2008 Jun 3.
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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
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