在儿童的刚性支气管和食管镜检查中,外体的吸收
Hüseyin Fatih Sezer1, Aykut Eliçora1, Salih Topçu1
1Department of Thoracic Surgery, Kocaeli University Faculty of Medicine, Kocaeli, Türkiye.
Turk gogus kalp damar cerrahisi dergisi
|April 8, 2024
概括
外体吸收和食道外体构成严重风险,特别是在儿童中. 对于危及生命的病例来说,迅速诊断和切除,通常是通过内镜检查,至关重要,而许多食道外体自然通过.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 儿科肺病学 儿科肺病学
- 紧急医疗 紧急医疗
背景情况:
- 外体吸收和食道外体是发生率不明的危急情况,主要影响儿科患者.
- 并发症可能导致显著的发病率和死亡率.
研究的目的:
- 审查外体吸收和食道外体的临床特征,诊断和治疗.
- 突出呼吸道和食道异物之间的管理差异.
主要方法:
- 对外体摄入和吸收的临床表现和诊断方法的审查.
- 讨论内镜 (支气管镜) 和非内镜 (随访,操纵,手术) 治疗方式.
- 强调针对特定高风险异物体 (磁铁,电池,利物体,可扩展物品) 的急性干预.
主要成果:
- 呼吸外体通常需要干预,而大多数食道外体会自发通过.
- 内镜去除是空气道外体的标准.
- 食道外体的管理包括观察,内镜去除,或手术阻塞性,反应性,或尖的物体.
结论:
- 早期识别和适当的管理,根据外体的位置和类型量身定制,是必不可少的.
- 提高认识和适当的家长指导可以减少发病率并改善结果.
- 内镜手术的成功率很高,术后早出院.
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