Analysis of related factors of coins foreign bodies crossing the esophagus in 204 cases of children
-
摘要: 目的: 分析硬币类儿童食管异物自行越过食管的相关因素。 方法: 选取2016-04-2017-12期间收治的288例食管异物中204例硬币类型异物的患儿,结合患儿性别、年龄、异物大小、质地以及异物嵌顿时间,综合分析其硬币自行越过食管的相关因素。结果: 204例患儿中有46例食管异物脱落食管以下消化道,电话随访44例自行排出;2例胃镜下取出。204例手术患儿中1例硬币形成食管入口处"憩室";2例行2次食管镜检查术;余无明显并发症发生。结论: 硬币类光滑异物越过食管基本见于异物嵌顿24 h内,与儿童性别和年龄无关,与硬币大小及质地无关。Abstract: Objective: To analyze the related factors of coins crossing the esophagus by themselves in children. Method: Two hundred and four cases with coin esophageal foreign bodies in our hospital from April 2016 to December 2017 were selected, the sex, age, size and texture of foreign body and the time of foreign body insertion were analyzed.Result: Of the 204 children, 46 had esophageal foreign bodies falling off the digestive tract below the esophagus,44 cases were discharged by themselves,2 children were removed under digestive endoscopy,1 coins formed diverticulum at the entrance of esophagus.Conclusion: Coins pass over the esophagus, basically seen within 24 hours,unrelated to age,sex or coin size,but related to the quality of the coin.
-
Key words:
- children /
- esophageal foreign body /
- coin
-
-
[1] RODRI'GUEZ H, PASSALI G C, GREGORI D, et al.Management of foreign bodies in the airway and oesophagus[J].Int J Pediatr Otorhinolaryngol, 2012, 76:84-91.
[2] ALTOKHAIS T I, AL-SALEEM A, GADO A, et al.Esophageal foreign bodies in children:emphasis on complicated cases[J].Asian J Surg, 2016, 16:10-15.
[3] VAN AS A B, DU TOIT N, WALLIS L, et al.South African experience with ingestion injury in children[J].Pediatr Otorhinolarygol, 2003, 67:175-178.
[4] HONDA S, SHINKAI M, USUI Y, et al.Severe gastric damage caused by bottom battery ingestion in a3-month-old infant[J].Pediatr Surg, 2010, 9:23-26.
[5] WEISSBERG D, REFAELY Y.Foreign bodies in the esophagus[J].Ann Thorac Surg, 2007, 84:1854-1857.
[6] PUDAR G, VLAKI L.Esophageal foreign bodies:retrospective study in 203cases[J].Med Pregl, 2010, 63:254-257.
[7] ASGE Standards of Practice Committee, IKENBERRY S O, JUE T L, et al.Management of ingested foreign bodies and food impactions[J].Gastrointest Endosc, 2011, 73:1085-1091.
[8] 李四军, 潘庆春, 严达忠, 等.食管异物312例临床分析[J].临床耳鼻咽喉头颈外科杂志, 2017, 31 (7):556-559.
[9] 刘杰, 姜彦, 韩敏, 等.儿童食管异物纽扣电池临床诊治分析[J].临床耳鼻咽喉头颈外科杂志, 2017, 31 (19):1521-1523.
[10] 董锦锦, 田秀芬.664例食管异物患者临床诊治分析[J].临床耳鼻咽喉头颈外科杂志, 2017, 31 (8):639-640.
[11] DAMGHANI M, HALAVATI N, MOTAMEDI N.Foreign body in the upper airway and esophagus:a seven years study from Iran[J].Pak Med Assoc, 2011, 61:859-860.
[12] DRAY X, CATTAN P.Foreign bodies and caustic lesions[J].Best Pract Res Clin Gastroenterol, 2013, 27:679-689.
[13] YALCIN S, KARNAK I, CIFTCI A O, et al.Foreign body ingestion in children:an analysis of pediatric surgical practice[J].Pediatric Surg Int, 2007, 23:755-761.
-
计量
- 文章访问数: 237
- PDF下载数: 163
- 施引文献: 0