海绵宝宝致儿童消化道梗阻13例诊治分析

Analysis of Diagnosis and Management of 13 Cases of Digestive Tract Obstruction Caused by Orbeez in Children

目的:总结海绵宝宝致儿童消化道梗阻的临床特点和治疗经验。方法:回顾性研究昆明医科大学附属昆明市儿童医院2017年3月至2019年7月收治的13例因误食海绵宝宝所引起消化道梗阻病例的临床资料,对其临床表现、检查诊断和治疗方法进行分析。结果:本组13例均有不同程度消化道梗阻的临床和影像学表现,经保守治疗病情加重而行手术探查,于术中明确为海绵宝宝所致梗阻,其中2例行肠管切开异物取出术,另11例于术中捏碎异物行肠管内减压至结肠后待其自行排出,全组病例均获治愈。结论:儿童误食海绵宝宝所致肠梗阻多位于小肠,常不易自行排出,一经诊断应尽早手术探查,推荐在术中将其捏碎行肠管内减压至结肠后待其自行排出。

Objective:To summarize the clinical features and therapeutic experiences of digestive tract obstruction caused by Orbeez in children.Methods:A retrospective study was carried out on the clinical manifestations,examinations and treatments with 13 cases of digestive tract obstruction caused by Orbeez in children from March 2017 to July 2019 in Affiliated Kunming Children’s Hospital of Kunming Medical University.Results:All 13 cases had clinical and imaging manifestations of different degrees of digestive tract obstruction,the conditions were aggravated after conservative treatment,and surgical explorations were performed.In the operation,it was found that the obstructions were caused by Orbeez.2 cases were performed by enterotomy to remove the foreign bodies.The other11 cases were treated by decompression from the intestinal tract to the colon after squeezing the foreign bodies.All the cases were cured.Conclusion:Intestinal obstructions caused by Orbeez are mostly located in the small intestine,and it is often difficult to excrete by themselves.Prompt surgical exploration is required as soon as possible after diagnosis,and it is recommended to crush and decompress the foreign bodies in the intestine to the colon and waited for excretion.