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胃镜治疗56例食管异物的临床分析
作者:贾方圆  吴萍  张葆  孙晗  苏静  陈玮煦  武侠 
单位:徐州市中心医院 东南大学附属徐州医院 消化内科, 江苏 徐州 221009
关键词:食管异物 胃镜 异物取出 
分类号:R768.4
出版年·卷·期(页码):2019·47·第二期(158-161)
摘要:

目的:分析胃镜治疗食管异物的临床特点,以提高诊治水平。方法:回顾我院2013年8月~2018年8月胃镜治疗食管异物的情况,对患者的年龄、食管异物的性状、取出方法、术后并发症及病程进行总结。结果:56例食管异物取出52例,2例推入胃内从大便排出,1例转外科手术,1例死亡,主要并发症为黏膜损伤和出血。结果表明:随着年龄的增长,异物的尖钝程度对病程的影响逐渐凸显,特别是在尖锐异物的情况下,病程明显延长。结论:食管异物尽量早治疗,术前明确诊断,合理选择治疗方法,规避相关并发症的发生。

Objective:To analyzethe clinical features of gastroscopy in the treatment of esophageal foreign bodies in order to improve the level of diagnosis and treatment Methods:This paper reviewed the treatment of esophageal foreign bodies by gastroscopy in our hospital from August 2013 to August 2018, and summarized the age of the patients, the characters of esophageal foreign bodies, the methods of removal, the postoperative complications and the course of disease. Results:Among these 56 cases with esophageal foreign bodies, 52 cases were successfully taken out, 2 cases were pushed into the stomach and excreted from the stool, 1 case underwent surgical operation, 1 case died. The main complications were mucosal injury and hemorrhage.The results showed that with the increase of age, the influence of the sharp and blunt degree of foreign body on the course of disease was gradually prominent, especially in the case of sharp foreign body, the course of disease was obviously prolonged.Conclusion:Esophageal foreign bodies should be treated as early as possible, diagnosed clearly before operation and reasonably selected to avoid the occurrence of related complications.

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