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中国初级卫生保健:2021,35(6):47-48
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儿童食道异物特点及并发症发生的危险因素分析
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中文摘要: 目的:总结儿童食道异物特点及并发症,探讨并发症发生的危险因素。方法:回顾性分析 2013 年 1 月 1 日— 2018年4月1日复旦大学附属儿科医院消化科收治的食道异物患儿临床特点。根据内镜诊断将患儿分为并发症组和无并发症 组,分析并发症发生的危险因素。结果:纳入 88例患儿,年龄(0.4~13.1)岁,男女比例 1.6∶1。男女童食道异物年龄分布的 差异无统计学意义(P=0.964)。食道异物以硬币居多(47.7%),多滞留于食道上段(63.6%)。18例患儿出现异物相关并发症, 以食道溃疡最为常见(10/18)。异物类型是并发症发生的独立危险因素,OR=2.02。电子胃镜取食道异物成功率为97.7% (86/ 88),取异物平均用时为(116.2±83.4)秒。结论:儿童食道异物多样,以硬币最为常见;异物类型与并发症发生相关。
Abstract:OBJECTIVE To conclude the clinical characteristics of esophageal foreign bodies and explore the potential risk fac⁃ tors for the complications of the esophageal foreign bodies. METHODS The characteristics of cases of esophageal foreign bodies diag⁃ nosed in the Department of Gastroenterology of Children’s Hospital of Fudan University from January 1, 2013 to April 1, 2018 were retrospectively analyzed. According to the endoscopic diagnosis, the children were divided into complications group and no complica⁃ tions group, and the risk factors for complications were analyzed. RESULTS A total of 88 cases of esophageal foreign body with the age of 0.4~13.1 were recruited, including 54 males (61.4%). Age distribution of foreign bodies in the esophagus of boys and girls was not statistically significant (P=0.964). The main type of esophageal foreign body was coin, accounting for 47.7%. The detained position of foreign body was mainly at the upper part of the esophagus, accounting for 63.6%. 18 cases had foreign body related com⁃ plications of which esophagus ulcer was the most common (10/18). Foreign body was independent risk factor for the complications of esophageal foreign bodies, OR=2.02. The successful rate of taking out foreign body in esophagus by electronic gastroscope was 97.7% (86/88), the average time of removing foreign body was (116.2±83.4) seconds. CONCLUSION The type of esophageal foreign body was related to the complications for esophageal foreign bodies.
文章编号:3202106014     中图分类号:R768.3    文献标志码:
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