Emergency Management of Foreign Bodies Swallowing Associated with Children in Dental Treatment: Review of Literature

兒童意外吞食異物在牙科治療－文獻回顧

施如軒(Ju-Hsuan Shih)

《臺灣兒童牙醫學雜誌》 12卷1期 (2012/04) Pp. 3-8

https://doi.org/10.6319/TJPD.2012.12(1).1

摘要

意外吞食或吸入牙科治療中的器械或材料可能會發生在各種牙科治療中，例如印模材料、牙釘牙柱、牙套及牙科鑽針等。然而，最常發生在年紀小的兒童或是心理、生理殘障的患者。此篇文章將介紹當兒童在牙科治療的同時，意外吞食異物之處理方式，並且回顧文獻中，牙科患者意外吞食或吸入牙科器械或材料，所可能發生的症狀，以及如何避免意外吞食或吸入異物之方法。預防意外發生在牙科緊急事件是相當重要的，牙科全體工作人員須具備基本生命復疏術的能力，牙科診室也必須有相當程度的緊急醫療設備，才能在牙科治療中，發生緊急意外吞食或吸入異物時，做最快最有效率的急救。當患者的呼吸道暢通後，必須立刻轉介患者到相關專科作後續的處置，其後的治療取決於診斷、異物的大小、形狀、長度，及異物的位置。牙科醫師在做任何牙科治療必須十分小心及專注預防意外吞食或吸入器械或材料的發生。

關鍵字

意外吞食異物 ； 兒童牙科患者 ； 處置炎

並列摘要

The ingestion or aspiration of instruments or materials used in dental treatment could happen in any field of dental profession. Ingestion or aspiration incidents are more likely to happen on dental patients of young children and medically, mentally or physically handicapped patients. The purpose of this review article is to present a protocol for management of foreign bodies swallowing associated with children in dental treatment. We also conduct literature review to address the complication and management of accidentally foreign bodies swallowing or aspiration. A through review of prevention, symptoms and signs, and management measures were presented. Prevention is always the most important option in dental emergency. If accidentally aspiration or ingestion of foreign bodies occurs, potentially life-saving support maneuver at the chairside is needed in case of fully obstruction. Once the airway has been secured, the patient should be referred to appropriate specialists for further clinical and radiographic examination. Management depends on diagnosis, shape and location of the foreign body. Eventually, multidisciplinary care should be exercised to reduce the risk of any incidence.

並列關鍵字

Foreign body aspiration/ingestion ； management ； pediatric dental patient