食管异物492例诊断和治疗分析  

SOME PROBLEMS OF FOREIGN BODIES IN THE ESOPHAGUS ON THE DIAGNOSIS AND TREATMENT:A CLINIC ANALYSIS OF 492 CASES

作　　者：苏志高[1] 戚琼芳[1] 王樟煜 邱道元[1] 徐子如[1] 周维镕[1] 江新[1] 

机构地区：[1]南通医学院附属医院耳鼻咽喉科

出　　处：《南通医学院学报》1991年第1期34-36,92,共3页ACTA Academiae Medicinae Nantong

摘　　要：报告492例食管异物,经食管镜取出472例(96%),由肠道排出5例(1%),自动呕出6例(1.2%),经颈或胸径路取出6例(1.2%),死亡3例(0.6%)。对食管异物的诊断必须病史、体征、X 线检查三结合。对可疑病例应早作诊断性食营镜检查。对体积大、多角形、尖锐、带钩异物,宜采用全麻。并使异物转位,使钩脱出食管壁,进入食管镜口再取出。对固定带钩异物不宜强拉,以免引起食管壁撕裂,应尽早转胸外科处理。对并发食管穿孔的病例,如孔穿较大,保守治疗无望愈合,应尽快由胸外科修补。This paper reports 492 cases of foreign bodies in the esophagus.The foreign bodies in 472 cases(96%)were removed by esophagoscopy;in 5 cases(1%)dis- charged from anus;in 6 cases(1.2%),vomited out;in 6 cases(1.2%),removed from pathway of the neck and thorax;and 3 cases(0.6%)died. It is very important that diagnosis must be combined with history,sign and X-ray examination.Diagnostic esophagoscopy must be practiced in the dubious cases.General anesthesia must be practiced in the cases of big polygonal,unciform and sharp foreign bodies.Foreign body must be transposited so that hooks are her- niated from the wall of esophagus into the cavity of esophagus to be removed.If fixation of foreign body with hooks is very much incarcerated,it is not to be dr- awn forcedly.Otherwise,laceration of the wall of esophagus may occur.The pati- ent with perforation of esophagus must be transferred to department of thoracic surg cry for treatment.If perforation is too big for healing,repair operation must be made.

关 键 词：食管异物 诊断 

分 类 号：R768.4[医药卫生—耳鼻咽喉科]