Lobeiras Ana, Zugazabeitia Amaia, Uribarri Nerea, Mintegi Santiago
Servicio de Urgencias de Pediatría, Hospital Universitario Cruces, Universidad del País Vasco, Bilbao, Vizcaya, España.
Servicio de Urgencias de Pediatría, Hospital Universitario Cruces, Universidad del País Vasco, Bilbao, Vizcaya, España.
An Pediatr (Barc). 2017 Apr;86(4):182-187. doi: 10.1016/j.anpedi.2015.11.014. Epub 2016 Jan 4.
Foreign body (FB) ingestion is an uncommon reason for going to the Paediatric Emergency Department (PED). The aim of this study was to assess the clinical and epidemiological characteristics of foreign body ingestion and the management of these patients.
Retrospective study, including children under 14 years old with suspected foreign body ingestion seen in the PED between 2010 and 2013. An analysis was made of the circumstances of the FB ingestion, its management in the PED, and patient outcomes.
Of the 226,666 presentations recorded, 1,608 (0.7%) were for a FB, 970 corresponding to ingestion of mainly fish bones (367, 38.7%) and coins (181, 18.7%), except in children under 1 year (plastic objects). The median age was 4.7 years, with boys being more common in those older than 4 years (58.5%). A total of 557 patients (57.3%) reported some symptom, and complementary tests were performed in 414 (42.7%). Another specialist was called in 315 (32.4%) cases, mainly from Ear, Nose and Throat (fish bones) or Surgery (coins). The FB was removed in 305 (31.4%) cases, which were mostly fish bones or sunflower seeds. Seventy-one patients (7.3%) were admitted, especially ingestion of fish bones or coins. No patient died.
Ingestion of fish bones or coins by young children is a relatively common presentation in the PED, and it is associated with frequent medical interventions. Although the overall prognosis is good, and improving the health education of the population should be considered to reduce the frequency of these episodes.
异物吞食是前往儿科急诊科（PED）就诊的一个不常见原因。本研究的目的是评估异物吞食的临床和流行病学特征以及这些患者的治疗情况。
回顾性研究，纳入2010年至2013年期间在儿科急诊科就诊的疑似异物吞食的14岁以下儿童。分析了异物吞食的情况、在儿科急诊科的治疗情况以及患者的结局。
在记录的226,666次就诊中，1608次（0.7%）是因异物就诊，970次主要是吞食鱼骨（367次，38.7%）和硬币（181次，18.7%），1岁以下儿童除外（吞食塑料制品）。中位年龄为4.7岁，4岁以上儿童中男孩更常见（58.5%）。共有557例患者（57.3%）报告有某种症状，414例（42.7%）进行了辅助检查。315例（32.4%）病例请了其他专科医生会诊，主要是耳鼻喉科（鱼骨）或外科（硬币）。305例（31.4%）病例取出了异物，主要是鱼骨或葵花籽。71例患者（7.3%）住院，尤其是吞食鱼骨或硬币的患者。无患者死亡。
幼儿吞食鱼骨或硬币在儿科急诊科是相对常见的就诊原因，且常伴有频繁的医疗干预。尽管总体预后良好，但应考虑加强公众健康教育以减少此类事件的发生频率。
