Stevens C, Ardagh M, Abbott G D
Department of Paediatrics, Christchurch School of Medicine.
N Z Med J. 1996 Jun 28;109(1024):232-3.
To review the children who presented to Christchurch Hospital emergency department with aerodigestive tract foreign bodies during 1994.
The emergency department, and impatient notes were retrospectively reviewed for all children presenting with a complaint of an aspirated or ingested foreign body, for the period 1 January 1994 to 31 December 1994. One hundred and thirty-nine children were identified as being eligible for study. A telephone followup interview to determine outcome was also conducted.
The 139 children had a median age of 3 years, 2 months and an even gender-distribution. The foreign bodies implicated were 47 coins, 23 sharp objects, 4 button batteries and a wide variety of blunt, noncorrosive foreign bodies. Twelve of the foreign bodies required removal (5 oesophagoscopies, 4 bronchoscopies, 2 indirect laryngoscopies and 1 laparotomy). Forty-five of 139 children had no significant symptoms at any time and these children had a total of 43 x-rays and 5 followup visits, none of which changed management. No child assessed by followup interviews had suffered complications requiring further evaluation or treatment.
Children who have ingested blunt, noncorrosive foreign bodies, and who have had no significant symptoms at anytime require no investigations after exclusion of oesophageal impaction but should be reviewed if symptoms develop.
回顾1994年期间前往克赖斯特彻奇医院急诊科就诊的患有气消化道异物的儿童。
对1994年1月1日至1994年12月31日期间所有因吸入或吞食异物前来就诊的儿童的急诊科和住院病历进行回顾性审查。确定139名儿童符合研究条件。还进行了电话随访访谈以确定结果。
这139名儿童的中位年龄为3岁2个月，性别分布均匀。涉及的异物有47枚硬币、23个尖锐物体、4枚纽扣电池以及各种钝性、无腐蚀性异物。其中12个异物需要取出（5次食管镜检查、4次支气管镜检查、2次间接喉镜检查和1次剖腹手术）。139名儿童中有45名在任何时候都没有明显症状，这些儿童共进行了43次X光检查和5次随访，均未改变治疗方案。通过随访访谈评估，没有儿童出现需要进一步评估或治疗的并发症。
吞食钝性、无腐蚀性异物且在任何时候都没有明显症状的儿童，排除食管嵌顿后无需进行检查，但如果出现症状则应进行复查。
