Cuestas Giselle, Rodríguez Verónica, Doormann Flavia, Bellia Munzón Patricio, Bellia Munzón Gastón
Sección de Endoscopía Respiratoria, División de Otorrinolaringología, Hospital General de Niños "Dr. Pedro de Elizalde", Ciudad Autónoma de Buenos Aires, Argentina.
Servicio de Cirugía, Hospital General de Niños "Dr. Pedro de Elizalde", Ciudad Autónoma de Buenos Aires, Argentina.
Arch Argent Pediatr. 2017 Apr 1;115(2):e126-e130. doi: 10.5546/aap.2017.e126.
Foreign bodies in esophagus are avoidable accidents that occur most often in children younger than 3 years. The most common presenting symptoms are dysphagia, drooling and vomiting. Occasionally a foreign body in the esophagus may present with respiratory symptoms such as cough, stridor and respiratory distress. This is more common in young children and when the object remains lodged in the esophagus for a prolonged period. Clinical suspicion is essential for early diagnosis, which allows to avoid potential complications. We describe 3 children with a foreign body impacted in the esophagus who presented mainly respiratory symptoms. We alert pediatricians on symptomatic variation in the presentation of a foreign body ingestion and we underline the importance of early diagnosis and treatment.
食管异物是可避免的意外事故,最常发生于3岁以下儿童。最常见的症状是吞咽困难、流口水和呕吐。偶尔,食管异物可能表现出咳嗽、喘鸣和呼吸窘迫等呼吸道症状。这在幼儿中更常见,且异物长时间嵌顿在食管时更易出现。临床怀疑对于早期诊断至关重要,早期诊断可避免潜在并发症。我们描述了3例食管异物嵌顿的儿童,他们主要表现为呼吸道症状。我们提醒儿科医生注意异物摄入表现的症状变化,并强调早期诊断和治疗的重要性。