小儿食管异物及其严重并发症的处理(附23例报告)

Analysis of severe complications of esophageal foreign bodies in childhood

目的 :总结小儿食管异物及其并发症的处理经验。方法 :对 2 3例比较复杂的小儿食管异物及其中出现严重并发症 8例的临床资料进行分析。结果 :2 3例中 ,用不同方法取出 1 5例 ,均无并发症发生 ,平均治愈时间为 2 .5d。8例出现严重并发症 ,治愈 7例 ,平均 2 9d ;死亡 1例。治愈率为 95 .7%。结论 :小儿食管异物应及时明确诊断 ,尽早取出 ;对难以取出者不能强取 ,切忌连续多次盲目下镜 ,要综合考虑 ,妥当取出 ,避免医源性并发症发生 ;正确处理小儿食管异物的并发症 。

Objective:To investigate the therapeutic and preventive method of severe complication caused by foreign bodies in esophagus.Method:Eight cases with severe complications of foreign bodies in esophagus from 1983 to 2001 were analyzed. Result:Among the 23 special foreign bodies in esophagus, 22 cases were removed from esophagus in different way. Of the 8 cases with complications, 7 patients were cured (10～70 d)and 1 died. The cure rate was 95.7 %.Conclusion:Foreign bodies in esophagus should be removed as soon as it is diagnosed surely. It is important that correctly treating foreign bodies in esophagus can reduce the incidence of severe complications.