成人外体摄入的非干预性结果
Melanie M Randall1, Moses Lee1, Ruben Marchosky1
1Department of Emergency Medicine, Riverside University Health System, 26520 Cactus Avenue, Moreno Valley, CA 92555, USA.
许多小的,尖的外体,就像剃须刀一样,在没有干预的情况下自发地通过. 这挑战了目前的指导方针,该指导方针建议对此类摄入物体进行内镜去除.
科学领域:
- 胃肠病学 胃肠病学
- 紧急医疗 紧急医疗
- 外科手术的结果
背景情况:
- 外体摄入是急诊室经常出现的情况.
- 目前的指导方针建议在十二指肠附近的尖或大物体 (>2.5厘米) 进行内镜切除.
- 这些干预措施是资源密集的.
研究的目的:
- 为了评估摄入外体的自发通道速率.
- 确定物体的大小和度是否是需要晚期干预的重大风险因素.
主要方法:
- 五年来对成年外体摄入的回顾性研究.
- 收集的数据包括对象特征,位置,干预和结果.
- 回归分析评估了迟到干预的风险因素.
主要成果:
- 包括117名患者 (171次接触);平均年龄33岁;有74%的人有精神病史.
- 剃刀刀是最常见的异物体.
- 尺寸和度不是晚期干预的重要风险因素;没有小肠阻塞发生.
结论:
- 小的外体,包括像剃须刀一样的利的外体,往往会自发地通过.
- 根据这些发现,目前对内镜去除的指导方针可能需要重新考虑.
- 对更大的物体进行进一步研究是有必要的.
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