山东大学耳鼻喉眼学报 ›› 2015, Vol. 29 ›› Issue (1): 72-74.doi: 10.6040/j.issn.1673-3770.0.2014.275

• 论著 • 上一篇    下一篇

食管异物治疗20年经验分析

李茂才, 项轩, 李文明, 金童, 钱晔, 魏东敏, 孙睿杰, 刘大昱, 雷大鹏, 潘新良   

  1. 山东大学齐鲁医院耳鼻咽喉科/卫生部耳鼻咽喉科学重点实验室, 山东 济南 250012
  • 收稿日期:2014-08-18 出版日期:2015-02-16 发布日期:2015-02-16
  • 通讯作者: 雷大鹏。E-mail:leidapeng@sdu.edu.cn E-mail:leidapeng@sdu.edu.cn
  • 作者简介:李茂才。E-mail:limaocai81@163.com

Analysis of 20 years experience of treatment in esophageal foreign body

LI Mao-cai, XIANG Xuan, LI Wen-ming, JIN Tong, QIAN Ye, WEI Dong-min, SUN Rui-jie, LIU Da-yu, LEI Da-peng, PAN Xin-liang   

  1. Department of Otorhinolaryngology, Qilu Hospital of Shandong University; Key Laboratory of Otorhinolaryngology, Ministry of Health, Jinan 250012, Shandong, China
  • Received:2014-08-18 Online:2015-02-16 Published:2015-02-16

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摘要： 目的 分析食管异物的临床特征、诊断方法、治疗及预后,总结严重并发症原因。方法 1993至2012年治疗食管异物415例,术前均行胸部透视或者上消化道钡餐透视检查,继后采用气管插管全麻,行食管镜检查异物取出术412例,经开胸异物取出术后转胸外科治疗3例。结果 该组病例并发食管黏膜损伤206例,并发食管穿孔48例,纵膈脓肿3例。415例患者均治愈出院,无死亡病例。结论 食管异物是耳鼻咽喉科常见急诊之一,具有腐蚀性的新型异物有增多趋势,若不及时处理易出现并发症, 甚至危及生命。食管镜检查异物取出术是治疗食管异物的有效方法。

关键词: 食管, 食管镜检查, 食管穿孔, 异物, 纵膈脓肿

Abstract: Objective To analyze the clinical characteristics, diagnosis, treatment and prognosis of patients with esophageal foreign body. Methods Clinical data of 415 cases with esophageal foreign body from 1993 to 2012 were reviewed. Chest fluoroscopy or upper gastrointestinal barium meal examination were performed preoperatively in all patients. Among them, 412 patients underwent further esophagoscope examination to remove foreign bodies and. 3 patients were referred to thoracic surgery. Results There were 206 cases of esophageal mucosa injury and 48 cases of esophageal perforation and 3 cases of concurrent mediastinal abscess. All the 415 patients recovered well. Conclusion Esophageal foreign body is one of the common emergency in the department of otolaryngology. In order to prevent the complications, timely treatment is essential. Esophageal endoscopy is an effective method to treat esophageal foreign body.

Key words: Foreign bodies, Esophagus, Mediastinal abscess, Esophageal perforation, Esophagoscopy

中图分类号: 

  • R768.3
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