从30岁男性的消化道中去除216个尖的金属异物:案例报告
Amin Rezazadeh1, Ali Samady Khanghah1, Siamak Mousazadeh1
1Department of Surgery, Fatemi Hospital, Ardabil University of Medical Sciences, Ardabil, Iran.
Annals of medicine and surgery (2012)
|September 4, 2023
概括
大多数外体摄入自发地通过,但利的金属物体可能需要手术去除. 这个案例突出了从一个年轻的男性患者手术切除多个尖的金属异物.
科学领域:
- 胃肠病学 胃肠病学
- 紧急医疗 紧急医疗
- 放射学 放射学是一门学科.
背景情况:
- 外体吞 (FB) 在急诊室很常见,特别是在幼儿中.
- 大多数被摄入的外体 (90%) 是无症状的,自发通过.
- 蓄意摄入发生在成年人身上,通常发生在特定人群中.
研究的目的:
- 报告一例手术切除多个利的金属外体的病例.
- 审查有关类似外体摄入病例的文献.
主要方法:
- 手术去除摄入的异物体.
- 对类似案件的文献综述.
- 简单的X射线摄影用于成像.
主要成果:
- 一名患有双极性精神分裂情绪障碍的年轻男性患者摄入了许多尖的金属外体.
- 手术干预是必要的,以从胃,肠道和直肠中去除异物.
- 平面放射学对于检测FB号码,材料和位置至关重要.
结论:
- 对异物体有穿孔,迁移或腹膜炎的风险的外科切除有指示.
- 在10-20%的病例中,需要进行内镜切除.
- 大多数异物体自发地通过.
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