Doolin E J
Department of Surgery, Robert Wood Johnson Medical School, Camden, New Jersey.
Ann Otol Rhinol Laryngol. 1993 Nov;102(11):863-6. doi: 10.1177/000348949310201107.
Ingestion of foreign bodies is common in infants. As a rule, the infant is being observed and the event is witnessed. When it is unwitnessed, acute symptoms bring the problem to the attention of a physician. When the ingestion is not witnessed or symptomatic, its presence can only be surmised. The object can create injuries and chronic symptoms that are not typical for this accident. Here is reported an ingestion of a coin that went undiagnosed and untreated for more than a year. The result was a transmural esophageal injury with stricture formation. The diagnostic methods and transcervical repair are described.
婴儿吞食异物很常见。通常,婴儿会受到观察且事件有目击者。若没有目击者,急性症状会使医生注意到这个问题。当吞食情况未被目睹或没有症状时,其存在只能被推测。异物可能造成损伤和慢性症状,而这些并非此类意外的典型表现。本文报告了一例硬币吞食事件,该情况未被诊断和治疗长达一年多。结果是形成了伴有狭窄的透壁性食管损伤。文中描述了诊断方法及经颈修复术。