食管异物严重并发症的诊断与治疗  

Diagnosis and Treatment of Severe Complications of Esophageal Foreign Body

作　　者：黎琪 姚俊 刘磊峰 江枫 LI Qi;YAO Jun;LIU Leifeng;JIANG Feng(Affiliated Hospital of Guangdong Medical University,Zhanjiang 524001,China;不详)

机构地区：[1]广东医科大学附属医院,广东湛江524001

出　　处：《中国医学创新》2022年第24期179-183,共5页Medical Innovation of China

摘　　要：食管异物严重并发症复杂、多样,严重者可危及患者生命,出现食管异物后,早期预防、确诊、治疗并发症是保障患者生命安全、降低医疗成本的关键。食管异物严重并发症好发于儿童、老人食管异物患者,异物嵌顿时间长、异物尖锐、腐蚀性异物、医源性损伤出现食管异物严重并发症的风险较大;临床表现多与食管异物相似但多更重,易漏诊。薄层CT扫描对食管异物并发症的早期诊断、减少漏诊、指导治疗至关重要。本文主要对食管异物造成严重并发症的诊断、治疗与预防做一综述。Severe complications of esophageal foreign body are complex and diverse,and severe cases can endanger the patient’s life,after the occurrence of esophageal foreign body,early prevention,diagnosis and treatment of complications are the keys to ensure the safety of patients’lives and reduce medical costs.Severe complications of esophageal foreign body are more common in children,elderly patients with esophageal foreign body the foreign body incarcerated for a long time,sharp foreign body,corrosive foreign body and iatrogenic injury have a greater risk of serious complications of esophageal foreign body;clinical manifestations are mostly similar to esophageal foreign body,but more severe,easy to miss diagnosis.Thin slice CT scan is very important for early diagnosis of esophageal foreign body complications,reducing missed diagnosis and guiding treatment.This article mainly reviews the diagnosis,treatment and prevention of serious complications caused by esophageal foreign body.

关 键 词：食管异物 食管穿孔 颈部脓肿 纵隔脓肿 食管主动脉瘘 

分 类 号：R571[医药卫生—消化系统]