儿童无症状肝内异物1例并文献复习  

A case of asymptomatic intrahepatic foreign body in a child and literature review

作　　者：彭威[1] 刘海金[1] PENG Wei;LIU Haijin(Department of Pediatric Surgery,First Affiliated Hospital of Gannan Medical University,Jiangxi Province,Ganzhou 341000,China)

机构地区：[1]赣南医学院第一附属医院小儿外科,江西赣州341000

出　　处：《妇儿健康导刊》2024年第18期43-46,共4页JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE

基　　金：江西省教育厅科学技术研究青年项目(GJJ201550);江西省卫生健康委科技计划项目(202310845)。

摘　　要：儿童体内异物较为常见,但肝内异物发生率较低。肝内异物通常由外伤皮肤刺入、消化道吞入或血液游离所致。肝内异物可导致肝脓肿、消化道穿孔等严重并发症,早期诊断、治疗十分必要。本文报道1例经皮肤刺入导致肝内异物患儿,该患儿由学校体检发现肝内异物后就诊,行腹腔镜下肝内异物取出术,术后情况良好。儿童肝内异物可由体表刺入,与周围环境相关,必要的体检有助于发现无症状的肝内异物,应及时进行腹腔镜手术取出异物,防止并发症的发生。Foreign bodies are more common in children,but the incidence of intrahepatic foreign bodies is low.Intrahepatic foreign bodies are usually caused by traumatic skin puncture,swallowed from the digestive tract,and free blood.Intrahepatic foreign bodies can lead to serious complications such as liver abscess and gastrointestinal perforation,so early diagnosis and treatment are essential.This article reported a case of intrahepatic foreign body caused by skin-prick penetration in a child who was found to have an intrahepatic foreign body during a physical examination at school.The child underwent laparoscopic intrahepatic foreign body removal,and was in good condition after the operation.In children,intrahepatic foreign bodies can be inserted through the body surface and are related to the surrounding environment.Necessary physical examination can help to detect asymptomatic intrahepatic foreign bodies,and laparoscopic surgery should be performed to remove the foreign body in time to prevent complications.

关 键 词：肝内异物 儿童 腹腔镜下肝内异物取出术 

分 类 号：R657.3[医药卫生—外科学]