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1、无痛W镜介入治疗小儿上消化道异物87例[摘要]目的评价无痛胃镜介入治疗小儿上消化道异物的效果。方法选择2010年5月〜2013年4月平顶山市第一人民医院收治的小儿上消化道异物患儿87例,对异物部位、种类和异物取出率及术后情况等进行临床统计分析。结果87例患儿,异物在食道者53例,异物在胃内为31例,异物在十二指肠球部为3例。异物成功取出85例(97.7%),失败2例(2.3%)。术后有13例局部少量渗血,5例食道溃疡,2例胃窦部溃疡。结论无痛胃镜介入治疗小儿上消化道异物是安全、有效的方法。充分的术前准备、及时就诊、胃镜操作技巧、助手的默契
2、配合及麻醉的成功是异物成功取出和减少并发症的关键。[关键词]小儿;消化道;异物;无痛胃镜[中图分类号]R768.4[文献标识码]A[文章编号]1673-7210(2014)01(c)-0048-03Painlessendoscopicinterventionaltherapyofupperdigestivetractforeignmattersin87childrencasesFENGHongjunFUYujunANIUShengliMICaifengLUMingmingDepartmentofGastroenterology,theFi
3、rstPeople,sHospitalofPingdingshanCity,He,nanProvice,Pingdingshan467000,China[Abstract]ObjectiveToevaluatetheefficacyofthepainlessgastroscopyinterventionaltreatingforeignmattersinuppergastrointestinalofchildren.MethodsAtotalof87casesofpainlessgastroscopyfromMay2010toApril2
4、013intheFirstPeople"sHospitalofPingdingshanCityinthetreatmentofchildrenwithforeignmattersintheupperdigestivetract,foreignmatterspositionforpatientswereenrolled,andforeignmattersremovalrate,species,andpostoperativesituationofclinicalwereanalyzed.ResultsInthe87cases,53cases
5、ofesophagusforeignmatters,31casesofstomachforeignmatters,and3casesofduodenalbulbforeignmatterswerefound.85cases(97.7%)foreignmatterswereremoved,2cases(2.3%)werefailed・13caseswithminorbleedingaftertheoperation,5caseswithesophagealulcer,2caseswithgastriculcerwerefound・Concl
6、usionThepainlessendoscopicinterventionalisasafeandeffectivetreatmentforthechildrenwithforeignbodiesintheupperdigestivetract.Sufficientpreoperativepreparation,timelytreatment,gastroscopyoperationskills,assistantwithagoodunderstendingandanesthesiaarekeystosuccessfulforeignm
7、attersremovedoperationsandreducecomplications.[Keywords]Children;Gastrointestinaltract;Foreignmatter;Painlessgastroscopy上消化道异物是小儿常见的急症之一,多由于小儿无知,误吞所致。对于小的、比较圆滑的或者对身体无害的、难吸收的异物,大多可通过胃肠道自然的排空作用随粪便自行排除体外,但是,对于大的,尖锐的或者对身体有害的异物,需要及时取出。小儿年龄小,由于疼痛不适和对胃镜检查的恐惧感,不宜配合胃镜治疗,有可能加重病情或产生
8、行的并发症,随着无痛胃镜在临床的广泛应用,避免了手术治疗,提高了内镜下治疗小儿上消化道异物成功率,减少了穿孔、出血等并发症的发生。1资料与方法1.1一般资料选择2010年5月〜2013年4月平