临床儿科杂志 ›› 2019, Vol. 37 ›› Issue (10): 774-.doi: 10.3969/j.issn.1000-3606.2019.10.013

• 综合报道 • 上一篇    下一篇

儿童食管异物损伤并发症危险因素分析

周子濡,尚婉媛   

  1. 南京医科大学附属儿童医院耳鼻咽喉科(江苏南京 210000)
  • 发布日期:2020-01-22
  • 通讯作者: 尚婉媛 电子信箱:zyswy0096@sina.com

Related factors of complications of esophageal foreign body in children

ZHOU Ziru, SHANG Wanyuan   

  1. Department of Otorhinolaryngology, The Affiliated Children’s Hospital of Nanjing Medical University, Nanjing 210000, Jiangsu, China
  • Published:2020-01-22

摘要: 目的 探讨儿童食管异物损伤并发症的危险因素。方法 回顾分析126例确诊食管异物并行内镜下异 物取出术患儿的临床资料。结果 126例患儿中,男82例、女 44 例;中位年龄2.5岁(1个月~16岁);发生食管黏 膜损伤、食管炎症、食管穿孔并发症共95例(75.4%)。Logistic 回归分析显示,年龄、异物嵌顿时间和异物嵌顿种 类是食管异物损伤并发症发生的影响因素(P<0.05)。 其中年龄越大,发生并发症的风险越小(OR=0.21,95%CI: 0.09~0.48);异物嵌顿时间越长(OR=2.12,95%CI:1.01~4.45)以及异物种类为长条/尖锐异物(OR=23.22, 95%CI:2.03~266.21),并发症发生风险越大。结论 儿童食管异物嵌顿导致并发症的风险较高,应尽快取出嵌顿 异物,减少并发症的发生。

关键词:  食管异物; 并发症; 儿童

Abstract:  Objective To explore the risk factors of complications of esophageal foreign body in children. Methods The clinical data of 126 children with diagnosed esophageal foreign body who received endoscopic foreign body removal were analyzed retrospectively. Results Among the 126 patients, 82 were boys and 44 were girls, with a median age of 2.5 years (1 month to 16 years). A total of 95 cases (75.4%) suffered from esophageal mucosal injury, esophageal inflammation and esophageal perforation. Logistic regression analysis showed that age, time of foreign body incarceration and type of foreign body incarceration were the influencing factors for the occurrence of complications of esophageal foreign body (P<0.05). The older the age, the lower the risk of complications (OR=0.21, 95%CI: 0.09~0.48). The longer the time of foreign body impaction (OR=2.12, 95%CI: 1.01~4.45), the greater the risk of complications. When the foreign body type was long/sharp (OR=23.22, 95%CI: 2.03~266.21), the risk of complications increased. Conclusions The risk of complications caused by incarceration of esophageal foreign bodies in children is high. Medical intervention should be taken as soon as possible to remove incarcerated foreign bodies and reduce complications.

Key words:  esophageal foreign body; complication; child