...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Eastern Journal of Medicine >Management of esophageal foreign bodies: A report on 26 patients and literature review
【24h】

Management of esophageal foreign bodies: A report on 26 patients and literature review

机译：食管异物的处理：26例患者报告及文献复习

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Management of esophageal foreign bodies: A report on 26 patients and literature review Hasan Ekim 1 The purpose of this study is to present our experience of the removal of esophageal foreign bodies in children and adults using rigid esophagoscope under general anesthesia. A total of 26 patients with a history of ingested foreign body in the esophagus were admitted and treated in our hospital between July 2005 and August 2007, of whom 20 children and 6 adults. There were 14 male and 12 female patients between 6 months and 70 years of age. All patients except one had a clear history and symptoms of foreign body ingestion. The main symptoms were difficulty in swallowing, acute onset of pain, dysphagia, choking and excessive salivation. A lateral neck plain radiograph and a posteroanterior view that included the oropharynx, neck, chest, and abdomen were made routinely before esophagoscopic examination. Foreign bodies were most commonly identified in the cervical esophagus, usually immediately below the cricopharyngeus (16 children). Remaining foreign bodies were as follows: 6 (4 children, 2 adults) foreign bodies were lodged in the midesophagus and 4 (all adults) in the distal esophagus. All foreign bodies were removed under general anesthesia. A rigid esophagoscope was used to remove them. Coins were the most common foreign body removed from the esophagus, occurring in 14 patients, all children. Other foreign bodies were bones mixed with pieces of meat, button battery, staples, safety pins, chicken bones, and fish bone. There were no deaths, no perforations, no cases of mediastinitis, and actually no complications secondary to insertion of the esophagoscope and removal of the foreign body. Rigid esophagoscopy remains as safe method of esophageal foreign body removal. The timely diagnosis and endoscopic removal should be performed to prevent serious life-threatening complications.
机译：食管异物的处理：26例患者的报道和文献综述Hasan Ekim 1 这项研究的目的是介绍我们在一般情况下使用刚性食管镜清除儿童和成人食管异物的经验。麻醉。我院自2005年7月至2007年8月共收治食道异物史26例，其中儿童20例，成人6例。 6个月至70岁之间的男性患者为14例，女性为12例。除一名患者外，所有患者均具有明确的病史和异物摄入症状。主要症状是吞咽困难，急性发作疼痛，吞咽困难，窒息和流涎过多。在食管镜检查之前，常规行颈外侧X线摄片和包括口咽，颈部，胸部和腹部的后前视图。异物最常见于子宫颈食管中，通常位于环咽部下方（16名儿童）。剩余的异物如下：6个（4名儿童，2个成人）异物被放置在食道中部，4个（所有成年人）被放置在食管远端。在全身麻醉下清除所有异物。使用刚性食管镜将其移除。硬币是从食道去除的最常见异物，发生在所有儿童的14例患者中。其他异物是混有肉块，纽扣电池，钉书钉，安全别针，鸡骨头和鱼骨头的骨头。没有死亡，没有穿孔，没有纵隔炎的病例，实际上没有因插入食管镜和清除异物而引起的并发症。硬性食管镜检查仍是安全的食道异物清除方法。应进行及时诊断和内镜摘除，以防止严重的危及生命的并发症。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号