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儿童吞食尖锐异物病例报告:手术干预前需等待多久?

Case Report of a Sharp-Pointed Foreign Body Ingested by a Child: How Long to Wait Before Surgical Intervention?

作者信息

Bal Anandit, Mahalik Santosh K

机构信息

Pediatric Surgery, All India Institute of Medical Sciences, Bhubaneswar, Bhubaneswar, IND.

出版信息

Cureus. 2024 Oct 31;16(10):e72780. doi: 10.7759/cureus.72780. eCollection 2024 Oct.

DOI:10.7759/cureus.72780
PMID:39618571
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11608116/
Abstract

Foreign body (FB) ingestion is one of the most common and challenging scenarios encountered in an Emergency Department. The incidence varies in different centers. They may be blunt objects, sharp-pointed objects, magnets, food boluses, and disk batteries. Most FBs pass spontaneously through the gastrointestinal (GI) tract, but the management of pointed, sharp FBs remains controversial. The relation between the length and width of sharp-pointed FBs and the mode of management remains questionable. In this case report, we discuss the management of a toddler who accidentally ingested an iron nail. We reviewed the existing literature and guidelines to find out the management of sharp-pointed foreign body ingestion in children.

摘要

异物吞食是急诊科最常见且具有挑战性的情况之一。不同中心的发病率有所不同。异物可能是钝物、尖锐物体、磁铁、食物团块和纽扣电池。大多数异物会自发通过胃肠道,但尖锐异物的处理仍存在争议。尖锐异物的长度和宽度与处理方式之间的关系仍不明确。在本病例报告中,我们讨论了一名意外吞食铁钉的幼儿的处理情况。我们回顾了现有文献和指南,以了解儿童尖锐异物吞食的处理方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c29/11608116/c87b4170f534/cureus-0016-00000072780-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c29/11608116/c9d7a479e48b/cureus-0016-00000072780-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c29/11608116/9a0ae99e6f85/cureus-0016-00000072780-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c29/11608116/23e0e10c07d5/cureus-0016-00000072780-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c29/11608116/173bc4b38ac5/cureus-0016-00000072780-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c29/11608116/c87b4170f534/cureus-0016-00000072780-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c29/11608116/c9d7a479e48b/cureus-0016-00000072780-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c29/11608116/9a0ae99e6f85/cureus-0016-00000072780-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c29/11608116/23e0e10c07d5/cureus-0016-00000072780-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c29/11608116/173bc4b38ac5/cureus-0016-00000072780-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c29/11608116/c87b4170f534/cureus-0016-00000072780-i05.jpg

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本文引用的文献

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Sharp-Pointed Foreign Body Ingestion in Pediatric Age.小儿尖锐异物吞食
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