食管异物引起严重并发症的临床分析

The clinical analysis of severe complications induced by esophageal foreign bodies

目的:探讨食管异物引起严重并发症的临床特点及治疗方法。方法:对49例食管异物伴严重并发症患者的临床资料进行回顾性分析。49例中,食管周围脓肿13例,颈部脓肿20例,纵隔脓肿11例,气管食管瘘3例,主动脉损伤1例,败血症1例。结果:49例中,治愈48例(97.96%),死亡1例(2.04%)。结论:全身麻醉下硬质食管镜下取出异物是治疗食管异物的主要方法;食管镜下取出失败或已有穿孔、出现严重并发症者,应及时行颈侧切开或开胸手术并予积极的对症支持治疗。

Objective：To explore and analyze the clinical characteristics and treatment strategy oi severe com- plications caused by esophageal foreign bodies. Method：A retrospective study was carried out on 49 cases with for- eign bodies in esophagus through careful analysis of their clinical data to explore the associated problems with eti- ology and therapy. Among this complications, there were cases of 13 periesophageal abscess,20 cases of abscess in the neck, 11 cases of mediastinal abscess, 3 traeheoesophageal fistula, 1 case of aorta injury and 1 septicemia. Re- suit：Forty-eight（97.96 %） of the patients recovered while one died. Conclusion：Hard esophagoscopy under general anesthesia is the main therapeutic strategy to take out the esophageal foreign bodies. When it failed or severe com- plications such as perforation or others emerged, open surgery like lateral neck incision or thoracotomy supplemen- ted with positive and timely supporting therapy are vital and essential.