牙科材料误吞——从儿科医生角度的病例报告与挑战
Accidental Ingestion of Dentistry Material - Report of Cases and Challenges from the Pediatrician Point of View.
作者信息
Cotrim Joana, Corujeira Susana, Jardim Joana, Cardoso Hélder, Trindade Eunice, Dias Jorge Amil
机构信息
Paediatrics Department, Hospital de Vila Real, Centro Hospitalar de Trás-os-Montes e Alto Douro E.P.E., Vila Real, Portugal.
Paediatrics Department, Hospital de São João, Centro Hospitalar de São João E.P.E., Porto, Portugal.
出版信息
GE Port J Gastroenterol. 2014 Dec 11;22(1):28-31. doi: 10.1016/j.jpge.2014.10.003. eCollection 2015 Jan-Feb.
INTRODUCTION
Aspiration or ingestion of foreign bodies may occur during dental procedures. Diagnosis and management of these accidents is sometimes challenging. The authors present a small series of clinical cases.
CASE 1: Adolescent observed due to suspected accidental bracket ingestion, not visible on x-ray, removed by upper digestive endoscopy.
CASE 2: Adolescent observed after accidental ingestion of a dental file. Conflicting results in image exams and absence of object progression led to enteroscopy for extraction.
CASE 3: Adolescent observed due to accidental ingestion of a surgical blade, visualized on image study but not accessible by endoscopy, resulting in latter spontaneous elimination.
DISCUSSION
Image study is frequently useful when metallic object ingestion is suspected, but has some limitations. In some cases, mucosal protections must be used during removal procedures. Prevention of such accidents is the best approach, using appropriate protections to secure airway and digestive tract during dental procedures.
引言
在牙科手术过程中可能会发生异物吸入或吞食。这些意外情况的诊断和处理有时具有挑战性。作者介绍了一小系列临床病例。
病例1：一名青少年因疑似意外吞食托槽而接受观察，X线检查未见异物，通过上消化道内镜取出。
病例2：一名青少年在意外吞食牙科锉后接受观察。影像学检查结果相互矛盾且异物未移动，因此进行小肠镜检查以取出异物。
病例3：一名青少年因意外吞食手术刀片而接受观察，影像学检查可见异物，但内镜无法触及，异物最终自行排出。
讨论
怀疑吞食金属异物时，影像学检查通常很有用，但也有一些局限性。在某些情况下，取出异物的过程中必须使用黏膜保护措施。预防此类意外是最佳方法，在牙科手术过程中使用适当的保护措施来确保气道和消化道安全。
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