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

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

10.29749/JTCEP.201012.0002

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)

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

台灣急診專科醫師期刊

2卷4期（2010 / 12 / 01）

120 - 124

繁體中文

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。

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.