摘要
Abstract
Objective To summarize the characteristics and prognosis of digestive tract foreign body in children,thus to provide basis and guidance for future clinical treatment.Methods A retrospective case-series analysis was carried out in Guangzhou Women and Children Medical Center.Patients should receive outpatient observation or hospitalization were determined by the types and location of foreign body.The following information was collected by single person whith a data collection form:age,type and location of foreign body,time of swallowing,clinical symptoms,location of taking out the foreign body,treatment,complication and prognosis.Results A total of 1 257 cases of ingested foreign bodies in children were collected from May 2006 to October 2016,including 845 males,mean of age was 3.0±2.1 years,the time of swallowing was 1.7±1.5 days.Clinical symptoms were reported in 266 cases (21.2％),and there were 210 cases of upper gastrointestinal symptoms (78.9％).Coins were the main proportion about 53.2％,and the rest were batteries,magnets,sharp and irregular foreign bodies.The foreign body staying in the stomach was most common symptom in the outpatient service (40.8％).215 cases of foreign bodies were discharged automatically,and mean of time was 3.5 ± 2.5 days.In 806 outpatient cases,185 cases (23.0％) were discharged automatically.In 451 hospitalization patients,30 cases were discharged automatically (6.6％),420 cases were discharged by intervention.230 cases (54.8％) were taken out by esophagoscopy and 169 cases (40.2％) by gastroscope and 21 cases (5.0％) by surgical operation.There were 110 cases of complications occurred in outpatient and hospitalization (8.8％),among them there were 98 cases (86.4％) with mucosal damage,2 cases with esophageal foreign body died because of gastrointestinal bleeding caused by the simultaneous esophageal perforation and aortic esophageal fistula.Logistic binary regression was used to analyze the prognostic risk factors.It showed that clinical symptoms,location and type of foreign body,treatment was independent risk factor for the prognosis of ingested foreign bodise in children.The incidence of endoscopic (49.2％) and clinical symptoms (32.3％) of long/sharp objects were the highest;The incidence of surgery of magnet was the highest (17.4％);The incidence of complications of button batteries was the highest (25％);The incidence of endoscopic (78％)and clinical symptoms (68.8％)and complications (16.8％) of esophageal foreign body were the highest.Conclusion The type of foreign body ingested in children is various,and its prognosis is closely related to type and locations of foreign body,clinical symptoms and intervention methods.关键词
消化道异物/儿童/胃镜/食管镜Key words
Ingested foreign body/Children/Gastroscope/Esophagoscope
