摘要
目的：积累内镜确诊及处理儿童上消化管异物的经验。方法：回顾分析我院自１９７８年１月至１９９５年３月间对６５例拟诊为上消化管异物的儿童（＜１２岁）进行的紧急内镜检查和处理。在咽喉部局麻下或全麻下用成人细径内镜操作，并配合异物器械处理异物。结果：确诊６０例中，共发现６５件异物，其中位于食管内１６件，胃内４１件，十二指肠内８件。５６例６０件异物经内镜成功地取出，仅４例５件异物因周边锐利或已进入十二指肠第３段未取出，例数和件数的成功率分别为９３．３％和９２．３％。在取出的异物中，最长１５０ｍｍ，最宽３４ｍｍ。结论：用成人细径内镜处理儿童上消化管异物是安全、有效的。
To summarize the experience of diagnosing and removing foreign bodies in upper gastrointestinal tract in children. Methods: 65 children (age: 1 d～12 years) were examined endoscopically for their ingested foreign bodies from January 1978 to March 1995. Thin endoscopy for adults was performed under general anaesthesia or larynpharynx local anaesthesia and the instruments for grasping the foreign bodies were used. Results: 60 children had 65 pieces of foreign bodies, of which 16 pieces were impacted in the esophagus, 41 in the stomach and 8 in the duodenum. 60 pieces of foreign bodies were successfully removed from 56 children without any complications. But 5 pieces of foreign bodies in 4 children failed to be taken out because the foreign bodies lodged in the third part of the duodenum. The successful rate was 93.3% in respect to the number of children and 92.3% in respect to the pieces of foreign bodies. Among all the foreign bodies taken out, the longest one was 150 mm in length and 34 mm in width. Conclusion: Thin endoscopy for adults can be used safely and effectively in the children with ingested foreign bodies.
出处
《第二军医大学学报》
CAS
CSCD
北大核心
1996年第3期260-262,共3页
Academic Journal of Second Military Medical University
关键词
上消化管异物
内镜术
儿童
病例报告
foreign bodies, upper gastrointestinal tract
endoscopy
children
