Schunk J E, Corneli H, Bolte R
Division of Emergency Medicine, Childrens Hospital of Los Angeles, CA 90027.
Am J Dis Child. 1989 May;143(5):546-8.
Coins are the most common esophageal foreign body in children. We prospectively evaluated 52 consecutive children who had swallowed coins to determine the incidence of asymptomatic esophageal coins and the rate of spontaneous passage. All patients had a roentgenogram; coins were removed from the esophagus if the patient was symptomatic. children with asymptomatic esophageal coins were allowed less than 24 hours to pass the coin to the stomach. Thirty children had esophageal coins; of these, 9 (30%) were asymptomatic. The presence of symptoms was significantly associated with esophageal coins, but the absence of symptoms did not reliably exclude the possibility of an esophageal coin. All children who swallow coins should undergo roentgenographic evaluation.
硬币是儿童最常见的食管异物。我们对连续52例吞入硬币的儿童进行了前瞻性评估，以确定无症状食管硬币的发生率和自然排出率。所有患者均进行了X线检查；有症状的患者，硬币从食管取出。无症状食管硬币的儿童被允许在不到24小时的时间内将硬币排入胃内。30名儿童有食管硬币；其中9名（30%）无症状。症状的出现与食管硬币显著相关，但无症状并不能可靠地排除食管硬币的可能性。所有吞入硬币的儿童均应接受X线检查评估。
