Shen Xiao-Fei, Li Qi
Department of Otorhinolaryngology, Children's Hospital of Nanjing Medical University, Jiangsu, PR China.
Department of Otorhinolaryngology, Children's Hospital of Nanjing Medical University, Jiangsu, PR China; Department of Otorhinolaryngology, Nanjing Children's Hospital, Affiliated to Medical School of Nanjing University, Jiangsu, PR China.
Int J Pediatr Otorhinolaryngol. 2019 Nov;126:109596. doi: 10.1016/j.ijporl.2019.109596. Epub 2019 Jul 22.
To determine the factors associated with the spontaneous passage (SP) of coins lodged in the esophagus in children.
A total of 351 pediatric patients with coin ingestion admitted to our hospital from March 2016 to March 2019 were included in the study. The patients underwent a period of overnight watch with a repeated chest x-ray within 24 h after the commencement of hospitalization. The influencing factors (sex, age, types of coin, time in the esophagus, and location) were analyzed.
The repeated chest x-ray showed coins that had passed into the stomach or intestine in 68 patients. Sex, age, time in the esophagus, location in the esophagus or the types of coins were not associated with SP, but the distribution of the esophageal coins varied statistically significantly in the different ages.
Coins pass spontaneously through the esophagus (19.4%) within 24 h, unrelated to sex, age, time of esophagus lodging, coin location in the esophagus, or coin types. Children approximately two years old were more likely to ingest small coins (10 or 50 cents), whereas children approximately five years old were more likely to ingest a large coin (1 Yuan).
确定与儿童食管内硬币自然通过（SP）相关的因素。
本研究纳入了2016年3月至2019年3月期间我院收治的351例误吞硬币的儿科患者。患者入院后进行了为期一夜的观察，并在住院开始后24小时内重复进行胸部X光检查。分析了影响因素（性别、年龄、硬币类型、在食管内的时间和位置）。
重复胸部X光检查显示，68例患者的硬币已进入胃或肠道。性别、年龄、在食管内的时间、食管内位置或硬币类型与硬币自然通过无关，但不同年龄段食管内硬币的分布在统计学上有显著差异。
硬币在24小时内可自然通过食管（19.4%），与性别、年龄、食管停留时间、硬币在食管内的位置或硬币类型无关。大约两岁的儿童更有可能误吞小硬币（1角或5角），而大约五岁的儿童更有可能误吞大硬币（1元）。
Zotero 插件