摘要
为提高小儿上消化道异物的诊治水平，自１９８１年始将纤维胃镜用于该病的诊断和治疗，至１９９５年底共为７１例上消化道异物患儿做了内镜诊断与治疗，年龄为生后当日～１２岁。６８例患儿在内镜直视下成功取出了各类异物，无一例有并发证。４岁以下小儿须作静脉麻醉，术中需严密监测呼吸及血氧饱和度；５岁以上儿童可仅作咽喉麻醉。良好的器械与熟练的内镜技术是能否成功取出异物的关键。临床观察结果表明，应用内镜处理小儿上消化道异物，安全、简便、有效，值得推广应用。
Tostudymethodsforendoscopicmanagementofuppergastrointestinal(UGI)foreignbodiesinchildren,weappliedgastroscopyin71Children0dayto12yearsofagewithUGIforeignbodiesfrom1981to1995.Theforeignbodiesweresuccessfulyremovedin68caseswithoutanycomplication.Theresultsindicatedthatduringtheoperation,childrenundertheageof4yearsshouldbegivenintravenousanesthesiaandtherespirationandarterialoxygensaturationshouldbecloselymonitoredandthatforpatientsover5yearsofage,locallaryngopharynxanesthesiaasusedinadultsworkedwel.Itwasessentialtohavegoodinstrumentsandskilfulendoscopictechnique.Weconcludethatendoscopictherapyisasimpleandsafemethodinthetreatmentofpediatricuppergas-trointestinalforeignbodies.
出处
《中华儿科杂志》
CAS
CSCD
北大核心
1996年第5期304-305,共2页
Chinese Journal of Pediatrics
关键词
上消化道异物
胃镜检
儿童
ForeignbodiesGastroscopyDigestivesystem
