摘要
目的探讨消化道异物的诊断、手术指征和时机。方法对该院1997年1月～2008年6月收治的117例消化道异物患者的资料进行回顾性分析。结果该组患者全部经X线摄片或钡餐检查确诊,102例自行排出,占87.2%;15例手术取出异物,占12.8%,所有病例治愈出院。结论消化道异物大多数可以自行排出,有下列情况应予以手术治疗:①异物横径>1.0cm或长度>10.0cm的胃内异物;②异物致急性消化道梗阻、破裂或大出血;③异物多且锐利,急腹症进行加重;④异物滞留某一部位>7d;⑤消化道藏带毒品有破损可能。
【Objective】To study the diagnosis and the surgical indication and opportunity of gastrointestinal foreign body. 【Methods】From January 1997 to June 2008 ,117 patients with gastrointestinal foreign bodies received treatment were analyzed retrospectively.【Results】In this group,. all cases confirmed diagnosis were for radiography and barium examination. Self-discharged and surgical operation were 102 cases and 15 cases, the rate were 87.2% and 12.8%. All cases were cured to discharge from hospital. 【Conclusion】 Self-discharged may for most gastrointestinal foreign body. Surgical operation is must for following： The transverse diameter is over 1.0cm or the length is over 10.0cm of gastrointestinal foreign body. The acute obstruction and breakup and large hemorrhage of tumors and stomach as gastrointestinal foreign body. The gastrointestinal foreign body is too much and sharply and to bring about exacerbate the acute abdomen. The gastrointestinal foreign body stopped over in the tumors and stomach is over 7d. Illicit possession of drug in the tumors and stomach is possible breakup.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2009年第18期2863-2864,共2页
China Journal of Modern Medicine
关键词
消化道异物
诊断
治疗
gastrointestinal foreign body
diagnosis
treatment
