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婴儿吞食异物:需要高度怀疑。

Foreign body ingestion in an infant: A high index of suspicion is required.

作者信息

Mohamad Ishak Luqman Afiq, Khor Kee Guan, Tan Shi Nee

机构信息

Department of Otorhinolaryngology, Head and Neck Surgery, Hospital Tawau Tawau Sabah Malaysia.

Department of Otorhinolaryngology, Head and Neck Surgery KPJ University College Nilai Negeri Sembilan Malaysia.

出版信息

Pediatr Investig. 2019 Sep 26;3(3):188-190. doi: 10.1002/ped4.12149. eCollection 2019 Sep.

DOI:10.1002/ped4.12149
PMID:32851316
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7331433/
Abstract

INTRODUCTION

The incidence of foreign body ingestion in the upper gastrointestinal tract accounts for 75%-85% of foreign body ingestions in pediatric patients.

CASE PRESENTATION

An 8-month old boy presented with vomiting and was referred to the otorhinolaryngology team based on his mother's suspicion that her child might have ingested a foreign body. Flexible laryngoscopy revealed a phone screen protector at the vallecular region. The foreign body was removed in the operating theatre.

CONCLUSION

Foreign body ingestion should always be suspected in young patients. Consideration of the patient's symptoms, level of lodgement, and type of foreign body will determine whether immediate intervention or a conservative approach is warranted.

摘要

引言

上消化道异物摄入的发生率占儿科患者异物摄入的75%-85%。

病例介绍

一名8个月大的男孩出现呕吐症状,因其母亲怀疑孩子可能摄入了异物,遂转诊至耳鼻喉科团队。纤维喉镜检查发现会厌谷区域有一块手机屏幕保护膜。该异物在手术室被取出。

结论

对于年轻患者,应始终怀疑有异物摄入。考虑患者的症状、异物嵌顿位置及异物类型,将决定是否需要立即干预或采取保守治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bba8/7331433/d9659193b332/PED4-3-188-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bba8/7331433/e8f5e5384cb9/PED4-3-188-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bba8/7331433/ff3b9ef769a1/PED4-3-188-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bba8/7331433/d9659193b332/PED4-3-188-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bba8/7331433/e8f5e5384cb9/PED4-3-188-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bba8/7331433/ff3b9ef769a1/PED4-3-188-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bba8/7331433/d9659193b332/PED4-3-188-g003.jpg

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本文引用的文献

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Foreign Body Ingestion in Children.儿童异物摄入
Clin Endosc. 2018 Mar;51(2):129-136. doi: 10.5946/ce.2018.039. Epub 2018 Mar 30.
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Novel Ingested Foreign Bodies-A Fidget Spinner Case Report.新型摄入性异物——一例指尖陀螺病例报告
JAMA Otolaryngol Head Neck Surg. 2018 May 1;144(5):456-457. doi: 10.1001/jamaoto.2017.2685.
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A rare case of a sharp foreign body on the vocal cord.一例罕见的声带尖锐异物病例。
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Ingested foreign bodies in children: a report of two cases.儿童摄入异物:两例报告
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Ingested Foreign Bodies Removed by flexible Endoscopy in Pediatric Patients: A 10-year Retrospective Study [corrected].小儿患者经软性内镜取出的摄入异物:一项10年回顾性研究[修正后]
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Management of foreign bodies in the airway and oesophagus.气道和食管异物的处理
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Ear, nose and throat foreign bodies in children: a search for socio-demographic correlates.儿童耳鼻咽喉异物:社会人口学相关因素探究
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Retrospective review of surgical management of foreign body ingestion.异物摄入手术治疗的回顾性研究。
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