Gracia C, Frey C F, Bodai B I
Ann Emerg Med. 1984 Jan;13(1):30-4. doi: 10.1016/s0196-0644(84)80380-7.
Ingested gastrointestinal foreign bodies may be managed by observation, endoscopy, and/or surgical intervention. We retrospectively reviewed 87 consecutive cases of foreign body ingestion. In 49 patients the ingested foreign body had passed beyond the gastroesophageal junction, and these cases form the basis of this study. Of the 49 patients, 19 (38.7%) required surgical intervention for removal of the swallowed object. Nearly 75% of these patients had swallowed objects that were more than 6.5 cm in length. Of 30 adults, more than 50% required surgery for removal of the foreign body. However, fewer than 16% of children who had swallowed and retained foreign bodies required surgery for ultimate cure. Based on these findings, guidelines are presented for the management of foreign body ingestion.
摄入的胃肠道异物可通过观察、内镜检查和/或手术干预来处理。我们回顾性分析了连续87例异物摄入病例。49例患者摄入的异物已通过胃食管交界处，这些病例构成了本研究的基础。在这49例患者中，19例（38.7%）需要手术干预以取出吞咽的异物。这些患者中近75%吞咽的异物长度超过6.5厘米。在30名成年人中，超过50%需要手术取出异物。然而，吞下并留存异物的儿童中，需要手术才能最终治愈的不到16%。基于这些发现，提出了异物摄入处理的指南。
