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未被目睹的异物摄入导致一名儿科患者出现严重并发症,该患者在因急性上消化道出血复苏期间死亡。

Unwitnessed Foreign Body Ingestion Causing Significant Morbidity in a Pediatric Patient Who Died During Resuscitation Secondary to Acute Upper Gastrointestinal Bleeding.

作者信息

Almoffarreh Haitam, Alawni Omar, Mustafa Ahmad, Aljaafari Azzam

机构信息

Pediatric Emergency Medicine, King Abdullah Specialist Children's Hospital, King Abdulaziz Medical City, Riyadh, SAU.

Pediatric Gastroenterology, King Abdullah Specialist Children's Hospital, King Abdulaziz Medical City, Riyadh, SAU.

出版信息

Cureus. 2023 May 9;15(5):e38752. doi: 10.7759/cureus.38752. eCollection 2023 May.

Abstract

Foreign body (FB) ingestion is a common presenting complaint to the emergency department in the pediatric age group; however, management and intervention vary based on the object ingested, location, time since ingestion, and clinical presentation. One of the rare presentations of foreign body ingestion is extreme complications such as upper gastrointestinal (GI) bleeding that requires urgent resuscitation and might need surgical intervention. We urge critical healthcare providers to consider foreign body ingestion in the differential diagnosis of acute unexplained upper gastrointestinal bleeding and maintain a high index of suspicion, and they must endeavor to obtain a complete history.

摘要

异物吞食是儿科年龄组向急诊科常见的就诊主诉;然而,管理和干预措施会因吞食的物体、位置、吞食后的时间以及临床表现而有所不同。异物吞食的罕见表现之一是诸如上消化道出血等极端并发症,这需要紧急复苏,可能还需要手术干预。我们敦促关键的医疗保健提供者在急性不明原因上消化道出血的鉴别诊断中考虑异物吞食,并保持高度的怀疑指数,他们必须努力获取完整的病史。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/592a/10171877/6f86ccbe589f/cureus-0015-00000038752-i01.jpg

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