婴幼儿复杂食管异物诊治.pdfVIP

中国耳鼻咽喉头颈外科/2011年12月，第18卷，第12期 婴幼儿复杂食管异物诊治分析 王华，赵绯，张亚梅 （首都医科大学附属北京儿童医院耳鼻咽喉科，北京　100045） [摘　要]　目的　探讨婴幼儿复杂食管异物的诊治经验。 complicated esophageal foreign bodies from January2002 　回顾性分析我院耳鼻咽喉科 年 月～ 年 方法 2002 1 20 10 to December 20 10 in o ur hos pital. Endosco pies in 月 例复杂婴幼儿食管异物的临床资料，所有病例均 12 70 general anest hesia int ubat ion were performed in all 行全麻硬性食管镜下异物取出术， 例术中应用 5 Hopkins cases, Application of Hopkins rod-lens were performed 潜窥镜。其中异物为纽扣电池者 例，同时合并有食管瘢 6 in 5 cases. The foreign bodies were button batteries in 6 痕者 例，对 例食管异物取出术后出血者，局部填塞速 10 2 cases, Ten patients also had esophageal stenosis. After 即纱 （ ）止血。 　 例患儿中， SURG ICEL 结果 70 97 .1% removal of the foreign body, esophageal mucosal bleeding （ ）经全麻气管插管麻醉硬性食管镜下，将异物顺利 68/70 occurred in 2 cases, and were stopped by packing of 取出，其中 例异物取出后，并发食管黏膜出血，局部填塞 　 2 t he SURGICEL. RESULTS Endoscopies in general 速即纱成功止血； （ ）颈侧切开取出异物；所有 2.9% 2/70 anest hesia int ubat ion were performed in removal of 病例顺利治愈。 　婴幼儿复杂食管异物，确诊后尽早 （ ） 结论 foreign bodies in 68 infants 68/70, 97.1% , and incision 手术；全身麻醉是确保尖锐复杂异物成功取出的关键及安 of neck and esophagotomy were performed in 2 cases 全保障。要特别重视纽扣电池等腐蚀性异物，术后延长禁 （ ） 2/70, 2.9% . All the patients were cure