[上消化道异物清除术]。

Heung Up Kim
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引用次数: 0

摘要

上消化道异物病可轻可重,食道最危险,因为它可引起呼吸系统并发症,如窒息和肺误吸。此外,它位于胸部的中心,与主动脉、心脏、肺、腔静脉等重要器官距离很近。异物穿孔食道可引起败血症,并伴有潜在的致命并发症,如主动脉-食道瘘和气胸。尖锐物体、食物团块和磁盘电池是最常见的异物类型,可导致食道严重并发症。最常见的尖锐异物是鱼骨,完全的食道阻塞往往是由肉块引起的。因此,它们是两种最常见的异物,应该进行紧急治疗。主动脉-食管瘘是最严重的异物并发症,可导致大出血。因此,认识到临床怀疑并知道在紧急情况下该怎么做是很重要的。在异物疾病中,应努力减少异物的并发症,而不是清除异物本身,临床医生应熟悉近年来出现的故意异物和身体包装者的特点。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Upper Gastrointestinal Foreign Body Removal].

Upper gastrointestinal foreign body disease can range from mild to severe, with the esophagus in most danger because it can cause respiratory complications such as choking and lung aspiration. In addition, it is located in the center of the chest, with vital organs such as the aorta, heart, lungs, and vena cava in close proximity. Perforation of the esophagus by a foreign body can cause sepsis with potentially fatal complications such as aorto-esophageal fistula and pneumothorax. Sharp objects, food clumps, and disk batteries are the most common types of foreign bodies that can cause serious complications in the esophagus. The most common sharp foreign body is a fish bone, and complete esophageal obstructions are often caused by meat clumps. Hence, they are the two most common types of foreign bodies and should be treated with emergency care. An aorto-esophageal fistula, the most serious of foreign body complications, can lead to massive bleeding. Therefore, it is important to recognize clinical suspicion and know what to do in an emergency. In foreign body disease, efforts should be made to reduce complications from the foreign body rather than remove the foreign body itself, and clinicians should familiarize themselves with the characteristics of intentional foreign bodies and body packers that have emerged in recent years.

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