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頁籤選單縮合
題 名 | Endoscopic Removal of Foreign Bodies in Children=以內視鏡移除兒童誤食異物 |
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作 者 | 林建亨; 陳安琪; 蔡政道; 魏嵩璽; 薛凱中; 林維卿; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷 期 | 23:9 2007.09[民96.09] |
頁 次 | 頁447-452 |
分類號 | 415.5091 |
關鍵詞 | 內視鏡; 誤食異物; Endoscopy; Foreign body ingestion; |
語 文 | 英文(English) |
中文摘要 | 誤食異物如硬幣、魚骨頭、玩具的塑膠部位、電池等是兒科急診常見的主述。雖然大多數誤食的異物會通過腸胃道,但仍有些兒童需非手術或手術的介入。我們在此報告一家醫學中心從 2001 年 12 月至 2006 年 5 月經回溯性病歷記載,共有 87 位病童因懷疑誤食異物而接受內視鏡檢查。其中有 74 位由內視鏡證實有異物。這些病童平均年齡為 3.4 歲 (從 6 個月至 13 歲)。異物最常卡在食道 (38 位,佔 51.4%),其他則在胃 (33 位,佔 44.6%) 或十二指腸 (3 位,佔 4.0%)。異物的型態包括硬幣 (42 位,佔 56.8%),鈕釦型電池 (16 位,佔 21.6%),尖銳物 (9 位,佔 12.2%),骨頭 (2 位,佔 2.7%),其他 (5 位,佔 6.7%)。只有兩個異物 (鈕釦型電池) 位於十二指腸無法由內視鏡成功取出。它們滑入小腸並在隔天自動排出。在整個誤食異物及實施內視鏡取出的過程中沒有併發症。全部病童的結果都很順利,沒有罹病率及死亡率。由我們的經驗得知,經由全身麻醉施行內視鏡取出食道異物或胃部尖銳物、電池,對無法合作的兒童而言是個有效又安全的方法,可以避免異物造成的腸胃道損傷及破裂。 |
英文摘要 | The ingestion of foreign bodies such as coins, fish bones, plastic toy parts, batteries, and needles is common in children. Although the majority of ingested foreign bodies pass through the gastrointestinal tract unaided, some children require either nonsurgical or surgical intervention. The medical records of children who presented to the pediatric emergency department of a single tertiary referral center between December 2001 and May 2006 were reviewed. A total of 87 patients underwent an endoscopic procedure because of suspected foreign body ingestion and foreign bodies were identified by endoscopy in 74 patients (85.1%). The mean age of these 74 patients was 3.4 years (range, 6 months to 13 years). The most common site of foreign body lodgment was the esophagus (n = 38, 51.4%); other sites included the stomach (n = 33, 44.6%) and duodenum (n = 3, 4.0%). The types of foreign bodies included coins (n = 42, 56.8%), button batteries (n = 16, 21.6%), sharp objects (n = 9, 12.2%), chicken bones (n = 2, 2.7%) and others (n = 5, 6.7%). Only two foreign bodies (button batteries) in the duodenum could not be removed successfully by endoscopy. Instead, they were moved into the intestine and then eliminated spontaneously the following day. There were no major complications caused by foreign body ingestion or endoscopic procedures. The outcome of all patients was uneventful without morbidity or mortality. In our experience, endoscopic removal of foreign bodies under general anesthesia is an effective and safe method in children; the method also prevents erosion and perforation of the gastrointestinal tract. |
本系統中英文摘要資訊取自各篇刊載內容。