518例强制戒毒人员吞食异物情况分析

Analysis of 518 drug addicts swallowing foreign bodies in compulsory detoxification

目的:了解药物滥用(吸毒)人员在强制戒毒期间吞食异物的统计学和临床特点,制定有效的管理措施。方法:对一年间(2007年1月1日至2007年12月31日)6762名受强制戒毒人员中518例吞食异物情况进行回顾性分析。结果:初检异物位于食管内占5.98%;位于上腹部为23.36%;下腹部25.87%;位于胸壁13.51%。其中91.85%(476/518)异物通过药物助排自然排泄;7.53%(39/518)经胃镜取出;0.58%(3/518)接受手术治疗。结论:今后应加强被强制戒毒人员所携带物品的管理,有效的医学影像学检查对于吞食异物的强制戒毒者和临床治疗起到积极的作用。

Objective： To understand statistical and clinical features of drug abusers swallowing foreign bodies in the period of compulsory detoxification in order to develop effective management measures. Methods： Amony 6762 drug addicts collected from January 1,2007 to December 31,2007, 518 cases who swallowed foreign bodies were retrospectively analyzed. Results： Through preliminary examination, the rate of foreign bodies accounted for 5.98 %; located in the upper abdomen accounted for 23.36%; at the lower abdomen accounted for 25.87 %; at the chest wall accounted for 13.51%. 91.85% （476 / 518） foreign body was naturally excreted through drug help Pai; Foreign bodies of 7.53% （39 / 518） was removed through endoscopy surgery; 0.58% （3 / 518） had surgery. Conclusions： We should strenthen the management of drug addicts carring goods. Effective medical imaging examination plays an active role in clinical therapy for compulsory drug abuser swallowing foreign bodies.