儿童消化内镜诊治的常见并发症及其处理原则

Common complications and management of gastrointestinal endoscopy in children

消化内镜在儿科胃肠道疾病的诊治中起着不可替代的作用。在内镜操作过程中发生并发症是不可避免的,一般儿童诊断性内镜的并发症发生率极低,但近年来随着儿童内镜下治疗的广泛开展,并发症的发生率明显升高。严格掌握消化道内镜诊治的适应证和禁忌证、严格按照操作流程、由熟练的儿科内镜医师操作是减少并发症的关键。对内镜诊治的并发症早期识别并及时处理,对确保患儿的医疗安全、维持良好的医患关系至关重要。

Gastrointestinal（GI） endoscopy plays an indispensable role in the diagnosis and management of various pediatric GI disorders. Complications during the operation of digestive endoscopy are unavoidable. The incidence of complications of diagnostic endoscopy in children is very low,but the incidence of complications is obviously increased in recent years,because of the development of endoscopic treatment in children. Following strict operation indications and contraindications of GI endoscopy,standardized operation process,and skilled pediatric endoscopists are the key to reducing complications. Early identification and timely management of complications after endoscopy is essential to ensuring the safety of children and maintaining harmonious doctor-patient relationship.