从胃中去除异物:一种创新的方法,使用C臂在ENT中
Shailendra Tripathi1, Manikanda Prabhu1, Nitesh Kumar2
1Dept of ENT, Military Hospital, Secunderabad, Telangana India.
概括
儿童摄入外体是很常见的. 这篇案例报告详细介绍了使用C臂光学来定位和取出胃中的硬币,当它在食管镜检查期间丢失时,这是资源有限的中心的新方法.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 医疗成像医学成像
- 手术手术手术手术手术手术手术手术手术手术
背景情况:
- 外体摄入是经常发生的儿科紧急情况,需要迅速检索.
- 耳鼻喉科医生和胃肠道科医生通常管理这些病例,通常涉及内镜手术.
- 意外的硬币吞在幼儿中尤为常见.
研究的目的:
- 报告C臂光镜用于在胃中定位异物 (硬币) 的新型应用.
- 在资源有限的环境中描述一种即兴的异物检索方法.
- 为了补充关于胃肠外体的诊断和干预技术的文献.
主要方法:
- 一个9岁的女性吞下了一枚硬币,最初通过成像在远端食道中定位.
- 在刚性食管镜检查中,没有找到硬币,这表明胃迁移.
- 通过C臂光学检查,确认了硬币在胃中的位置.
主要成果:
- 这枚硬币通过C臂光学成功地被放置在胃中.
- 这种成像模式有助于随后的异物检索.
- 这项手术是在一个缺乏先进内镜设施的第三级护理中心进行的.
结论:
- 阴臂光镜可以成为一种有效的工具,用于定位胃肠道内的异物体,特别是当先进的成像无法使用时.
- 这一案例突出了一个即兴的技术,用于在资源有限的环境中检索异物.
- 这些发现为在没有专门设备的中心管理儿科外体摄入提供了宝贵的知识.
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