吸毒贩毒人员上消化道异物的内镜下治疗

Research on Endoscopic Treatment of Ingested Foreign Bodies in Upper Gastrointestinal Traet in Drug Addicts and Drug Pushers

目的探讨内镜下治疗吸毒贩毒人员上消化道异物(包括毒品)的临床应用价值。方法对1995年1月～2009年12月的15年间,因上消化道异物(包括毒品)而到我院就珍的97例吸毒贩毒人员的临床资料及内镜治疗情况进行分析。结果 23例为胃内毒品(海洛因),共37包,每例1～5包,人均1.6包。均全部在内镜下完整、安全取出。另74例为胃内非毒品异物,以铁棍最为常见,共65例,占82.4%。69例在胃镜下成功取出,成功率为93.2%。其余5例转外科手术治疗。结论内镜下取出是治疗吸毒贩毒人员上消化道异物的有效方法。但对毒品的取出必须耐心、细致、准确、轻柔,以避免毒品包装破裂。

Objective To evaluate the clinical value of endoscopic treatment of ingested foreign bodies（including narcotics）in upper gastrointestinal tract in drug addicts and drug pushers.Methods Clinical analysis was performed in 97 drug addicts and drug pushers with ingestec foreign bodies（including narcotics）in upper gastrointestinal tract treated with endoscopy.Results 23 of 97 cases had 37 packs of narcotics in ther stomach.Narcotics were heroin.A11 of 37 packs of heroin were dislodged safely from their stomach with endoscope.In another 74 cases,ingested foreign bodies in upper gastrointestinal tract were notnarcotics.69 of 74（93.2%）cases were dislodged successfully with endoscope.The remaining 5 cases were treated with surgical operation.Conclusion Endoscopic treatment is very helpful for the patients with ingested foreign bodies（including narcotics）in upper gastrointestinal tract.However,endoscopic removal of narcotics must be patient meticulous,accurate and gentle in order to avoid rupture of drug-packaging.