1例小儿食入122颗“泡大球”诊治及经验总结  

A case of child intakes 122 expansion balls and experience in diagnosis and treatment

作　　者：刘通 万钧[1] 王继忠[1] Liu Tong;Wan Jun;Wang Jizhong(Department of Emergency Surgery,Tianjin Children's Hospital(Children's Hospital of Tianjin University),Tianjin Institute of Pediatrics,Tianjin Key Laboratory for Prevention and Treatment of Birth Defects,Tianjin 300134,China.)

机构地区：[1]天津市儿童医院(天津大学儿童医院)急创外科、天津市儿科研究所、天津市儿童出生缺陷防治重点实验室,天津300134

出　　处：《齐齐哈尔医学院学报》2024年第8期741-744,共4页Journal of Qiqihar Medical University

基　　金：天津市医学重点学科(专科)建设项目(TJYXZDXK-040A)。

摘　　要：目的探讨小儿消化道异物吸水球的病例特点,总结其诊断及治疗要点。方法报道了1例本院近期收治的小儿食入122颗吸水球的病例;回顾性分析本院2015—2023年收治的25例相关患儿的临床资料,并对其诊断及治疗经验进行总结。结果所有患儿中男孩多于女孩(17︰8),其中3岁以上患儿数量与3岁以下患儿数量比较,差异无统计学意义(P>0.05)。约20%的患儿会出现肠梗阻并发症,并发症组的平均年龄(1.2±0.4)岁,明显低于非并发症组的平均年龄(3.15±1.6)岁。食入异物后的中位数就诊时间并发症组为48(20,120)h,无并发症组为6(4.75,8.25)h,其差异具有统计学意义(P<0.05)。结论吸水球作为一种较少见的小儿消化道异物,大多数可以保守治疗为主,但部分患儿会出现进行性肠梗阻需要积极手术干预,出现肠梗阻的几率与患者年龄及食入异物后的就诊时间等因素有关,临床需要予以重视。Objective To investigate the characteristics of digestive tract foreign body absorbent balls among children,and summarize the key points in diagnosis and treatment.Methods This paper reported one child case who was admitted to the hospital due to ingested 122 particles of absorbent pellets.The clinical data of 25 children who were admitted to the hospital from 2015 to 2023 were retrospectively analyzed,and the experience in diagnosis and treatment was summarized.Results More boys were affected than girls in all patients(17︰8).There was no significant difference in the number of children between group over 3 years old and group under 3 years old(P>0.05).About 20%of children developed intestinal obstruction complications,and the mean age in the complication group was(1.2±0.4)years,which was significantly lower than the mean age of(3.15±1.6)years in the non-complication group.The median presentation delay was 48(20,120)h in the complication group,which was more longer than 6(4.75,8.25)h in the non-complication group,and the difference was statistically significant(P<0.05).Conclusions Expansion ball is a kind of rare foreign body in the digestive tract of children,most of the children can be treated conservatively,but some children will suffer from progressive intestinal obstruction and require active surgical intervention.The probability of intestinal obstruction is related to the age of patients and presentation delay,which should be paid more attention in clinical practice.

关 键 词：消化道异物 吸水球 肠梗阻 小儿腹部急症 

分 类 号：R725.7[医药卫生—儿科]