小儿急诊洗胃19例分析

Emergency Gastric Lavage: an Analysis of 19 Pediatric Cases

目的分析小儿急诊洗胃的方法与临床效果。方法选取2011年1月至2013年1月收治的需急诊洗胃的小儿患者19例,均根据患儿的具体情况慎重进行洗胃处理,并对5岁以上与以下患儿的一次插管成功率、洗胃成功率、并发症发生率以及患儿家长满意率评价比较。结果 5岁以上患儿一次插管成功率100.0%;成功洗胃率100.0%,未见并发症发生,患儿家长满意率100.0%。5岁以下患儿一次插管成功率85.7%;成功洗胃率85.7%,并发症发生率14.3%,患儿家长满意率85.7%。5岁以上患儿洗胃效果更明显(P<0.05)。结论对小儿进行急诊洗胃治疗时,应慎重处理,对洗胃液的选用与用量,胃管的选用与插管的深度等进行综合控制,以提高患儿临床洗胃效果。

Objective Tc analyze emergency gastric lavage for children and its clinical effects. Methods Between January 2011 and January 2013, 19 pediatric patients admitted for emergency gastric llavage were selected, and the gastric lavage treatment was performed cautiously according to the children＇ s conditions. A comparison between the children older than five and the children less than five years old was made in terms of the success rate of one-time intubation, success rate of gastric lavage, complication rate, and parent＇s satisfaction rate. Results For the children older than five, the success rate of one- time intubation, success rate of gastric lavage, and parent＇s satisfaction rate were 100.0% respectively, without the occurrence of complications. For the children less than five years old, the success rate of one-time intubation, success rate of gastric lavage, complication rate, and parent＇s satisfaction rate were 85.7%, 85.7%, 14.3%, and 85.7%, respectively. Compared with the effects of gastric lavage on the children less than five years old, those on the children older than five were significantly better （P〈0.05）. Conclusion Emergency gastric lavage for children should be performed cautiously. In order to improve the clinical effects of gastric lavage on children, the selection and dosage of gastric lavage fluid, selection of gastric tube, and intubation depth should be administrated comprehensively.