食道異物四年間之經驗

Experience with Esophageal Foreign Bodies in Recent Four Years

張克昌(Ko-Chang Chang) ； 陳一豪(I-How Chen) ； 李國森(Kuo-Sen Lee) ； 徐銘燦(Min-Tsan Shu) ； 周賢章(Hsien-Jang Chou)

《中華民國耳鼻喉科醫學會雜誌》 29卷3期 (1994/06) Pp. 197-200

https://doi.org/10.6286/1994.29.3.197

摘要

食道異物為耳鼻喉科常見之急診疾患。本科自民國78年2月至82年1月，共有171例診斷為食道異物。男性81例，女性90例，年齡從13個月至81歲，10歲以下最多，有74例(43.3%)。以異物種類區分，錢幣最多有86例(50.3%)，其次為魚骨35例(20.5%)，再其次為雞骨有19例(11.1%)，其餘31例較少見異物中有4例為誤吞真空擠壓包裝的藥物(佔2.3%)，頗為罕見，值得注意。以位置來分，151例(88.3%)位於食道上部，20例(11.7%)位於食道中段，無食道下部的病例。術前頸部X-光有143例(83.6%)可見異物陰影存在。合併症均為食道黏膜紅腫、血腫或輕度糜爛，並無嚴重合併症發生。以食道異物發生到取出異物的時間而言，少於24小時者有151例(88.3%)，其中101例(66.9%)無合併症，50例(33.1%)有輕微合併症。超過24小時者有20例，其中8例無合併症，另12例有輕微合併症。

關鍵字

食道異物

並列摘要

Over a 4-year period from February 1989 to January 1993, 171 patients were treated for impacted foreign bodies of the esophagus. Eighty one patients were male and 90 patients were female. The ages of the patients ranged from 13 months to 81 years old. Most patients were less than 10 years old. Of the foreign bodies removed, coins were the most common, occurring in 86 patients (50.3%), followed by fish bones in 35 patients (20.5%). There were also 4 cases of an unusual esophageal foreign body, the press-through-pack pills.
The majority of foreign bodies were impacted in the cervical esophagus (151 patients, 88.3%). Twenty patients (11.7%) had foreign bodies impacted in the upper thoracic esophagus. None of the foreign bodies were located in the lower esophagus. Most patients (151 cases, 88.3%) presented to the emergency department within one day of ingestion of the foreign body. There were no major complications in this series.

並列關鍵字

esophageal foreign body