Assistant Professor of Emergency Medicine, University of Alabama at Birmingham Heersink School of Medicine, Birmingham, AL.
Emerg Med Pract. 2023 May;25(5):1-28. Epub 2023 May 1.
There are over 150,000 reports to American Poison Centers every year due to foreign body ingestions, and many patients will be directed to emergency departments for evaluation and management. This comprehensive review evaluates the current literature related to gastrointestinal foreign body diagnosis and management. A discussion of the utility of various imaging modalities is presented, along with a description of high-risk ingestions and the evidence behind society guidelines and management strategies. Finally, controversies in the management of esophageal impactions are reviewed, including the use of glucagon.
每年美国毒物中心有超过 15 万例因吞食异物而报告的病例,许多患者将被转至急诊部门进行评估和管理。本综述全面评估了与胃肠道异物诊断和管理相关的现有文献。本文讨论了各种成像方式的实用性,以及高危异物摄入的描述,以及背后的证据社会指南和管理策略。最后,还回顾了食管嵌塞处理中的争议,包括使用胰高血糖素。