鼻胃镜检查在儿科上消化道疾病中的应用  

Application of Transnasal Gastroscope in Children With Upper Gastrointestinal Tract Disorders

作　　者：邵彩虹[1] 黄瑛[1] 张冰峰[1] 

机构地区：[1]复旦大学附属儿科医院消化科,上海200032

出　　处：《实用儿科临床杂志》2007年第19期1465-1466,共2页Journal of Applied Clinical Pediatrics

摘　　要：目的探讨EG-470N5型鼻胃镜的性能与其在儿科上消化道疾病中的诊断价值。方法采用EG-470N5型鼻胃镜对60例上消化道病变患儿进行观察,分经口插入法和经鼻插入法二组,经口插入法组术前准备同普通胃镜,经鼻插入法组对鼻腔追加利多卡因喷雾麻醉或呋喃西林麻黄素点滴。结果经鼻腔插入28例,32例经口插入,均能顺利完成上消化道检查。其中28例(46.7%)检查时安静,无明显反应;27例(45%)有轻度恶心不适,5例(8.3%)有明显恶心反应和烦躁不安。应用鼻胃镜对食管、幽门狭窄及2 d新生儿进行检查,无任何并发症。结论鼻胃镜由于外径超细,镜身柔软,适宜于儿童,尤其对吞咽困难、狭窄腔道更具有应用优势。较普通胃镜更具有良好的应用前景。Objective To explore the property and diagnostic significancec of transnasal gastroscope（ EG -470N5 ）in chihh＇en with upper gastrointestinal tract disorders. Methods Sixty children with upper gastrointestinal tract disorders were examined by using EG - 470N5. The scope was inserted either through nose（ n = 28 ）or via mouth （n = 32 ）. Beside the routine preparations, nasal spray of lidocaine or nasal drib of ephedrine was added to those who received nasal intubation. Results Examination of upper gastrointestinal tract subjects in all succed with no obvious side response in 28 cases（46.7% ）who received the examination via nose,27 cases（45% ）had mild nausea and 5 cases（ 8.3% ）had serious nausea and dysphoria. Chihtren with esophagostenosis and pyloristenosis and 2 - day - old neonate were examined without adverse effect. Conclusions Transnasal gastroscope is prepnnderant to children dne to its slim diameter and supple body, especially to those having swallow difticuhy and confined tract. It is more favorable practical prospect than routine gastmscope.

关 键 词：鼻胃镜 诊断 儿童 

分 类 号：R725.7[医药卫生—儿科]