儿童摄入外体:一个16年的经验
Andrea Di Siena1, Paola Melli1, Federica Rodofile1
1Division of Pediatrics, Department of Medicine (DAME), University of Udine, Udine, Italy.
Pediatric gastroenterology, hepatology & nutrition
|July 23, 2025
概括
儿童摄入外体是很常见的,在食道中经常发现硬币. 症状与上中食道外体有关,准则的遵守程度各不相同.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 紧急医疗 紧急医疗
- 内镜检查是指内镜检查.
背景情况:
- 外体 (FB) 摄入是经常发生的儿科紧急情况.
- 在多达20%的儿科FB摄入中,内镜去除是必要的.
研究的目的:
- 审查需要内镜的儿科FB摄入病例.
- 将管理实践与已发布的指南进行比较.
主要方法:
- 对儿童 (0-16岁) 进行内镜检查FB摄入的回顾性研究 (2007年1月至2022年12月).
- 对患者人口统计,症状,FB位置和类型的分析.
- 管理与NASPGHAN,ESPGHAN和SIGENP指导方针的比较.
主要成果:
- 62名儿童接受了内镜检查FB摄入; 62.9%的人有症状.
- 吐,疼痛和腹是最常见的症状.
- 硬币是最常见的FB (42.0%),主要是在食道中 (56.2%).
- 症状呈现与上中食道FB位置相关 (p<0.001).
- 遵循指导方针:纳斯普汉/埃斯普汉 (68.8%),西格恩 (72.9%).
结论:
- 硬币是儿童摄入的最常见的外体,通常会停留在食道中.
- 症状的存在与异物体位于中上食道的位置有关.
- 及时的内镜干预 (2小时内) 提出了挑战.
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