Lehmann C U, Elitsur Y
Department of Pediatrics, Marshall University School of Medicine, Huntington.
W V Med J. 1995 Jan;91(1):13-5.
Many children are brought to the Emergency Room each year because they have swallowed foreign bodies (FBs), particularly coins. Whether to remove these foreign bodies or let them pass through naturally is a constant dilemma for ER physicians. This article reviews our experiences in treating pediatric patients who underwent FB retrieval for coins, food particles and toy parts, and discusses their clinical and endoscopic findings. The vast majority (82%) of the swallowed FBs were lodged in the esophagus. A review of the literature and a suggested medical protocol to manage patients who have swallowed coins are also discussed in this article.
每年都有许多儿童因吞食异物（FBs），尤其是硬币，而被送往急诊室。对于急诊医生来说，是取出这些异物还是让它们自然排出，一直是个两难的问题。本文回顾了我们在治疗因硬币、食物颗粒和玩具部件而接受异物取出术的儿科患者方面的经验，并讨论了他们的临床和内镜检查结果。绝大多数（82%）吞食的异物嵌顿在食管中。本文还讨论了文献综述以及针对吞食硬币患者的建议医疗方案。
