摘要
目的:探讨上消化道异物内镜下急诊诊断及取出的处理方式.方法:2002-07/2011-07龙岗区第二人民医院胃镜室共完成内镜下急诊异物取出上消化道异物患者162例,男89例,女73例,年龄0.8-82岁,异物吞入后就诊时间为3min-9d,分析患者临床资料.结果:采用局麻或全麻下急诊用内镜直视下明确诊断,按照异物的位置、形态、大小、选择合适的器械,取出异物或设法让异物通过肠道排出体外.162例患者中155例通过上述方法治疗后取得满意疗效,7例患者治疗失败后改为手术处理,内镜下急诊取出治疗上消化道异物成功率为95.7%,部分并发咽喉黏膜损伤.结论:经内镜局麻或全麻下急诊取出上消化道异物是一种安全、有效的方法;手法得当,用内镜上消化道异物急诊取出应为首选方法,有器质性病变的患者取出异物后应尽早病因治疗.
AIM： To summarize our experience with the removal of upper gastrointestinal foreign bodies by emergency endoscopy. METHODS： One hundred and sixty-two patients who underwent removal of foreign bodies in the upper gastrointestinal tract by emergency endoscopy at our hospital from July 2002 to July 2011 were included in the study. There were 89 males and 73 females, and their age ranged from 0.8 to 82 years. The time from swallowing the foreign body to diagnosis was 3 minutes to 9 days. The clinical data for these patients ware analyzed. RESULTS： Under local or general anesthesia, a definite diagnosis was made by emergency endoscopy. Based on the location, shape and size of the foreign body, appropriate equipment was selected to remove the foreign body or get it removed through the intestine. Of all 162 patients, satisfactory results were obtained in 155 cases,and 7 patients were converted to surgery after treatment failure. The success rate for emergency endoscopy in removing upper gastrointestinal foreign bodies was 95.7%. Some patients experienced throat mucosal injury. CONCLUSION： Emergency endoscopy under local or general anesthesia is a safe, effective method for removing upper gastrointestinal foreign bodies.
出处
《世界华人消化杂志》
CAS
北大核心
2012年第18期1681-1684,共4页
World Chinese Journal of Digestology
关键词
上消化道
异物
急诊
内镜
Upper gastrointestinal
Foreign body
Emergency
Endoscopy
