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儿童消化道异物35例手术治疗分析

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目的:回顾性分析需手术治疗的儿童消化道异物的临床资料,总结其临床诊治经验.方法:选取2016年1月—2021年12月深圳市儿童医院行手术治疗的35例消化道内异物患儿作为研究对象,分析不同类型异物的临床特点、诊治方法和预后情况.结果:所有病例中,男性28例(80%),女性7例(20%).年龄范围从11月~9岁.临床症状主要为腹痛哭闹19例(54.29%)和呕吐17例(48.57%).所有患者做X线检查,提示消化道异物阳性33例(94.29%),包括:多个磁珠30例,尖锐金属异物3例;提示消化道异物阴性2例(5.71%),包括泡发球1例、枣核1例.做超声检查共13例,提示消化道异物阳性10例(76.92%),其中有2例患儿在超声检查中提示消化道异物阳性,而在X线检查中则为阴性.全部患儿均接受手术治疗,术后随访3~6月,发生消化道梗阻并发症5例.结论:磁珠和尖锐金属异物是常见需手术治疗的儿童消化道内异物种类,腹痛哭闹和呕吐是该类疾病的主要症状,儿童消化道异物可引起较为严重的并发症,特别是多个磁珠更易引起的消化道并发症,家长及儿科医生需重点关注.
Analysis of 35 Cases of Surgical Treatment of Gastrointestinal Foreign Bodies in Children
Objective:To retrospectively analyze the clinical data of children with gastrointestinal foreign bodies requiring surgical treatment,and to summarize their clinical diagnosis and treatment experience.Methods:Data of 35 pediatric patients with foreign bodies in the digestive tract who underwent surgical treatment at the hospital from January 2016 to December 2021 were retrospectively analyzed.Results:Of all the cases,28(80%)were males and 7(20%)were females.The age range was from 11 months to 9 years.Clinical symptoms were mainly abdominal pain and crying(19 cases,54.29%)and vomiting(17 cases,48.57%).X-ray examination was performed in all patients,suggesting that 33 cases(94.29%)were positive for GI foreign bodies,including 30 cases of multiple magnetic beads and 3 cases of sharp metal foreign bodies,2 cases(5.71%)were negative for GI foreign bodies,including 1 case of blistering hairballs and 1 case of date seeds.A total of 13 children underwent ultrasonography,suggesting positive GI foreign bodies in 10 cases(76.92%).All children were treated surgically and followed up for 3-6 months after surgery,with 5 cases of complications of GI obstruction.Conclusion:Magnetic beads and sharp metal foreign bodies are common types of foreign bodies in the GI tract of children that require surgical treatment.Abdominal pain,crying and vomiting are the main symptoms of this type of disease,and foreign bodies in the GI tract of children can lead to more serious complications,especially GI complications that are more likely to be caused by multiple magnetic beads,which need to be the focus of attention of parents and pediatricians.

Digestive foreign bodyChildrenSurgical proceduresMagnetic beads

张晨、张晓雯、陈子民

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深圳市儿童医院普外科,广东 深圳 518038

消化道异物 儿童 外科手术 磁珠

2024

黑龙江医学
中华医学会黑龙江分会

黑龙江医学

影响因子:0.714
ISSN:1004-5775
年,卷(期):2024.48(5)
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