Department of Pediatrics and Child Health, Nihon University School of Medicine, 30-1, Oyaguchi, Kami-cho, Itabashi-ku, Tokyo 173-8610, Japan.
Medicina (Kaunas). 2020 Jan 19;56(1):39. doi: 10.3390/medicina56010039.
When children accidentally ingest foreign bodies, they may be unable to communicate adequately; it is often difficult to identify the causative foreign body unless someone is watching over them. In such instances, to identify the causative foreign body during clinical practice, we aimed to determine if it varies according to age. From April 2013 to June 2018, 252 records of pediatric patients with a confirmed diagnosis of foreign-body ingestion were retrospectively examined in a Japanese university hospital. Comparisons among multiple age groups, according to type of ingested foreign body, were analyzed using Kruskal‒Wallis tests. The differences between the individual data were tested using the Steel‒Dwass test. The median age of the patients was 15 months, and of the total patients, 140 were boys (55.5%). The types of foreign bodies ingested were as follows, in order of frequency: cigarettes ( = 44, 17%, median age: 12 months), plastics ( = 43, 17%, median age: 11 months), chemicals ( = 27, 11%, median age: 13 months), internal medicines ( = 26, 10%, median age: 33 months), and metals ( = 26, 10%, median age: 35 months). The median age was significantly different among the types of causative foreign bodies ( < 0.01). The patient age for the ingestion of cigarettes was significantly younger than that for ingesting metals or coins. The age for ingesting internal medicines was significantly older than that for ingesting plastics, cigarettes, paper, or chemicals ( < 0.01). The causative foreign body ingested differed according to age. This will be valuable information for physicians that encounter pediatric patients who may have ingested an unknown foreign body in Japanese pediatric emergency or general practice settings.
当儿童意外吞食异物时，他们可能无法充分沟通；除非有人在旁边看着，否则通常很难确定导致异物的原因。在这种情况下，为了在临床实践中确定导致异物的原因，我们旨在确定其是否因年龄而异。
从 2013 年 4 月到 2018 年 6 月，在日本一所大学医院回顾性检查了 252 例经证实的儿童异物吞食患者的记录。使用 Kruskal-Wallis 检验分析了根据吞食异物的类型在多个年龄组之间的比较。使用 Steel-Dwass 检验测试了各个数据之间的差异。
患者的中位年龄为 15 个月，其中 140 例为男孩（55.5%）。吞食的异物类型如下，按频率顺序排列：香烟（=44，17%，中位年龄：12 个月）、塑料（=43，17%，中位年龄：11 个月）、化学品（=27，11%，中位年龄：13 个月）、内科药物（=26，10%，中位年龄：33 个月）和金属（=26，10%，中位年龄：35 个月）。导致异物的类型之间的中位年龄差异有统计学意义（<0.01）。香烟的中位年龄明显小于金属或硬币。内科药物的中位年龄明显大于塑料、香烟、纸或化学品（<0.01）。
导致吞食的异物原因因年龄而异。这对于在日本儿科急诊或普通儿科环境中遇到可能吞食未知异物的儿科患者的医生来说是有价值的信息。
