Title

小兒腸胃道異物的治療:台灣某偏遠地區一所區域醫院80例經驗

Translated Titles

Management of Foreign Body Ingestion in Children in a Taiwan Rural Hospital: 80 Cases Experience

DOI

10.29749/JTCEP.201012.0002

Authors

鄧允武(Yun-Wu Deng);許文祥(Boon-Siang Khor);鄺炳昌(Bing-Chang Kuang);鄭奇殷(Chyi-Yin Cheng);游駿吉(Chun-Chi You);廖訓禎(Shiumn-Jen Liaw)

Key Words

異物 ; 食入 ; 內視鏡 ; foreign body ; ingestion ; endoscope

PublicationName

台灣急診專科醫師期刊

Volume or Term/Year and Month of Publication

2卷4期(2010 / 12 / 01)

Page #

120 - 124

Content Language

繁體中文

Chinese Abstract

本研究統計1999年1月到2009年8月在台灣中部偏遠地區一所區域醫院中,被X光或宵鏡確診有腸胃道異物而接受治療的80個小兒病患並加以分析。資料收集內容包含性別、年齡、治療方式及併發症。共12個案失聯無法追蹤結果。病人年齡分布從1-16歲,平均年齡4.7歲。男性佔65%(52/80),女性35%。異物以硬幣最多佔72%,其他尚有玩具零件、釘書針、鈕扣電池及鋼珠玻璃珠等。硬幣以1元硬幣最多佔51%。整體結果以自然排出之63.2%(43/68)最多,以內視鏡取出者佔35.3%,開刀取出有1.5%。1個案因大頭針刺穿腸壁發生腹膜炎,無致死案例。

English Abstract

We retrospectively reviewed eighty pediatric cases of ingestion of a foreign body over the past 11 years that had presented at a regional hospital located in rural area of middle Taiwan. Twelve of the patients were lost to follow up. The age distribution was between one year and sixteen years old with a mean age of 4.7 years. The ratio of males to females was 52:28. Coins were the most frequently ingested foreign body and made up 72% (57/80) of the total. The total natural elimination rate was 63.2%. Only one patient suffered from a complication, which was peritonitis due to perforation of intestine wall by a toothpick. There was no mortality.

Topic Category 醫藥衛生 > 內科
醫藥衛生 > 外科
醫藥衛生 > 醫院管理與醫事行政