儿童消化道异物所致严重并发症的危险因素探讨

Risk factors for severe complications caused by digestive tract foreign bodies in children

目的探讨儿童消化道异物所致严重并发症的危险因素。方法回顾分析2012年11月—2017年11月收治的285例12岁以下的消化道异物患儿的临床资料,根据其消化道异物引起并发症的严重程度将患儿分为危险组42例和普通组243例进行分析比较。结果 285例患儿中,男182例、女103例,异物的种类包括硬币、电池、磁性异物、毛发、别针、螺丝钉等。危险组和普通组患儿在食管异物滞留时间>24小时、异物形状、异物类型和消化道异物滞留部位方面的差异均有统计学意义(P<0.01),以上因素为引起严重并发症的危险因素。结论正确判断危险因素,选择合适的治疗方法及合理的处理时机,可降低儿童消化道异物各类严重并发症的发生。

Objective To explore the risk factors of serious complications caused by foreign bodies in digestive tract in children.Method The clinical data of 285 children under 12 years old with foreign bodies in digestive tract admitted from November 2012 to November 2017 were retrospectively analyzed.According to the severity of complications caused by foreign bodies in digestive tract,the selected children were divided into risk group and general group for analysis and comparison.Results Among 285 children(182 males,103 females)the types of foreign bodies included coins,batteries,magnetic foreign bodies,hair,pins,screws,and so on.There were 42 cases in risk group and 243 cases in general group.There were significant differences in the percentage of esophageal foreign body retention time>24 hours,the shape of foreign bodies,the types of foreign bodies and the retention sites of foreign bodies in digestive tract between the two groups(P<0.01).These factors mentioned above were risk factors for serious complications.Conclusion The serious complications of foreign bodies in children’s digestive tract can be reduced by correctly judging risk factors,choosing proper treatment methods and proper treatment timing.