Drexhage V R, Sukhai R N
Ned Tijdschr Geneeskd. 1989 Sep 2;133(35):1744-9.
A retrospective study extending over five years was made of the consequences of ingestion of undesirable substances by children. Despite the publicity on this subject it remains a serious medical problem. An annual average of 90 children were seen in the emergency department. Complications are caused mostly by oil products but also by drugs and household products. On average 55% of the children were hospitalized. With regard to the indication for endoscopical examination of the oesophagus and stomach after ingestion of caustic substances, insufficient arguments for performance of this examination in all children were found in the literature. We advocate a prospective study of this question. With regard to the indication for hospitalization of children after ingestion of tobacco, we are of the opinion that many children may be kept under observation in their homes after being watched for one hour.
对儿童摄入不良物质的后果进行了一项为期五年的回顾性研究。尽管对此问题进行了宣传，但它仍然是一个严重的医学问题。急诊科每年平均接待90名儿童。并发症主要由油类产品引起，但也由药物和家用产品引起。平均55%的儿童需要住院治疗。关于摄入腐蚀性物质后进行食管和胃内镜检查的指征，文献中未找到在所有儿童中进行此项检查的充分依据。我们主张对此问题进行前瞻性研究。关于儿童摄入烟草后住院的指征，我们认为许多儿童在观察一小时后可以在家中接受观察。
