一根眼镜腿引发的穿孔

A Perforation Caused by a Temple of Glasses

消化道异物是指在消化道内不能被消化且未及时排出而滞留的各种物体,常见种类包括枣核、牙签、鱼刺、禽类骨头、圆珠等。如异物停留7~10天仍无位置改变,则可能已嵌塞,后续可刺破胃肠壁并固定于该处,导致腹膜炎、脓毒症、创面愈合不良、消化道梗阻,甚至发生大血管破裂导致死亡,为手术适应证。本文汇报的是一位妇女因产后抑郁导致情绪不稳,吞服眼镜腿14年后,因消化道异物导致十二指肠穿孔,开腹救治诊疗的过程。

Digestive foreign body refers to various objects that can not be digested in the digestive tract and are not discharged in time. If the foreign body remains unchanged for 7 to 10 days, it may have been impacted, then it may puncture the gastrointestinal wall and be fixed there, leading to peritonitis, sepsis, poor wound healing, digestive tract obstruction, and even large blood vessel rupture leading to death, which is an indication of surgery. This report details the medical treatment process of a woman who had unstable emotions due to postpartum depression, and who had ingested a piece of the temple of glasses 14 years ago. Due to the foreign body in her digestive tract, she suffered a duodenal perforation, which required open abdominal surgery for treatment.