Bonadio W A, Jona J Z, Glicklich M, Cohen R
Department of Pediatrics, Medical College of Wisconsin, Children's Hospital, Milwaukee 53233.
J Pediatr Surg. 1988 Oct;23(10):917-8. doi: 10.1016/s0022-3468(88)80384-1.
An analysis was performed of 46 consecutive children who received esophageal bougienage for an ingested coin lodged in the esophagus. All patients met the following clinical criteria necessary for performance of this procedure: an acutely ingested single coin, radiographically localized in the esophagus; no previous history of an esophageal disease process, surgical procedure performed or foreign body removed; and no respiratory compromise upon physical examination. All coins were successfully advanced distally into the stomach after one pass of the bougie dilator. No complications were noted during or after performance of any procedure. Esophageal bougienage is a safe and effective method used to dislodge and pass an ingested coin from the esophagus when criteria for its performance are adhered to rigidly.
对46例因吞食硬币嵌顿于食管而接受食管探条扩张术的连续儿童进行了分析。所有患者均符合进行该操作所需的以下临床标准：急性吞食单枚硬币，经放射学检查定位在食管；既往无食管疾病史、未行外科手术或取出过异物；体格检查时无呼吸功能不全。在探条扩张器单次通过后，所有硬币均成功向远侧推进至胃内。在任何操作过程中及操作后均未发现并发症。当严格遵守食管探条扩张术的操作标准时，它是一种安全有效的方法，可用于将吞食的硬币从食管中取出并使其通过。
