小儿上消化管异物30例无痛胃镜治疗分析  

Painless gastroscopic removal of upper gastrointestinal tract foreign bodies in children

作　　者：顾红祥[1] 刘玉杰[1] 张志坚[1] 黄友明[1] 陈雪梅[1] 麦海珠[1] 杨巧玲[1] 

机构地区：[1]中山大学附属东华医院消化内科,东莞523110

出　　处：《陕西医学杂志》2006年第9期1129-1131,共3页Shaanxi Medical Journal

摘　　要：目的:评价小儿上消化管异物行无痛胃镜下取出有效性及安全性。方法:对30例小儿消化道异物在氯胺酮静脉麻醉下行胃镜取出,于术前、术中及术后监测MAP、R、P和SaO2,记录治疗开始至清醒的时间及不良反应。结果:28例上消化管异物被成功取出,术前、术中及术后MAP、R、P和SaO2无显著性差异(P>0.05),总治疗过程约20min,患儿无明显不适主诉,无严重并发症发生。结论:小儿上消化管异物的无痛胃镜下取出安全有效。Objective： To examine the efficacy and safety of painless gastroscopic removal of upper gastrointestinal tract foreign bodies in children. Methods： 30 children suffering gastrointestinal tract foreign bodies accepted gastroscopic therapy in ketamine intravenous aneasthesia. MAP, R, P and SaO2 were monitored and recorded before, during and after gastroscopic therapy. At the same time the total therapy time and the side effects were noted. Results： Foreign bodies of 28 children （28/32） were removed. There was no different in MAP, R, P and SaO2 before, during and after gastroscopic therapy. The mean therapy time was 20 minutes and no endoscopic related major complications , such as active hemorrhage and gastrointestinal perforation, were observed. Conclusion： Painless gastroscopic removal of upper gastrointestinal tract foreign bodies in children is effective and safe and should be approached extensively.

关 键 词：异物/诊断 异物/治疗 消化系统疾病 胃镜检查 儿童 

分 类 号：R656[医药卫生—外科学]