转诊至亚兹德市 Shahid Sadoughi 医院的 14 岁以下异物摄入儿童的流行病学调查和内窥镜检查结果

Roohollah Edalatkhah, Majid Aflatoonian
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摘要

导言:异物摄入是一种比较常见的问题,有时甚至会危及生命。本研究旨在调查亚兹德市沙希德-萨多菲医院 14 岁以下儿童的异物类型和内窥镜检查结果。研究方法这项描述性横断面研究的对象是 2018 年因异物摄入而转诊至 Shahid Sadoughi 医院儿科急诊科的 50 名 14 岁以下儿童。研究收集了人口统计学信息、临床症状、异物类型、异物摄入与转诊之间的时间间隔、转诊至内镜检查之间的时间间隔以及内镜检查结果,并使用 SPSS 16 版本进行了分析。结果患儿的平均年龄为(37.14 ± 39.10)个月。在接受调查的 50 名儿童中,33 名(66%)为男孩,17 名(34%)为女孩。最常见的临床症状是无症状(42%),最常见的异物是硬币(24%),最常见的年龄范围是 1-5 岁(48%),内镜检查中最常见的病变是无病变(56%),内镜检查中最常见的异物位置是胃(50%)。根据被调查儿童的年龄、性别和异物类型等变量,内镜检查结果(病变类型和病变位置)的频率分布差异无统计学意义(P>0.05)。结论男孩和 1-5 岁儿童发生异物误食的概率较高,因此应更加关注这些儿童。大多数误食异物的病例都没有症状,但由于可能出现严重的并发症,因此不应推迟诊断措施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Epidemiological Investigation and Endoscopic Findings in Children Under 14 Years of Age with Foreign Body Ingestion Referred to Yazd Shahid Sadoughi Hospital in Yazd City
Introduction: Foreign body ingestion is a relatively common and sometimes life-threatening problem. This study was conducted with the aim of investigating the types of foreign body and endoscopic findings in children under 14 years old in Yazd Shahid Sadoughi Hospital in Yazd City. Methods: This descriptive-cross-sectional study was conducted on 50 children under 14 years of age who referred to the Pediatric Emergency Department of Shahid Sadoughi Hospital with foreign body ingestion in 2018. Demographic information, clinical symptoms, type of foreign body, time interval between ingestion and referral, time interval between the time of referral to endoscopy and findings during endoscopy were collected and analyzed with SPSS version 16. Results: The average age of the children was 37.14 ± 39.10 months. Out of the 50 children investigated, 33 (66%) were boys and 17 (34%) were girls. The most common clinical symptom was asymptomatic with a frequency of 42%, the most common foreign body was coin (24%), the most common age range was 1-5 years (48%), the most common lesion in endoscopy was the absence of a lesion (56%) and The most common location of the object in endoscopy was stomach (50%) . No statistically significant difference was found between the frequency distribution of endoscopic findings (type of lesion and location of lesion) according to the variables: age, sex and type of foreign body in the investigated children (p>0.05). Conclusion: The probability of foreign body ingestion is higher in boys and the children aged 1-5 years, so more attention should be paid to these children. Most cases of ingestion of foreign bodies are asymptomatic, but due to serious complications, diagnostic measures should not be postponed.
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