Chinese Journal of Practical Pediatrics ›› 2021, Vol. 36 ›› Issue (12): 926-929.DOI: 10.19538/j.ek2021120610

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Principles of perioperative management of endoscopy for digestive foreign body in children

  

  1. Department of Gastroenterology,Xi’an Children’s Hospital,Xi’an  710003,China
  • Online:2021-12-06 Published:2022-02-17

儿童消化道异物内镜围手术期管理原则

  

  1. 西安市儿童医院消化内科,陕西  西安  710003 

Abstract:

Digestive foreign body in children is one of the most common emergencies in pediatric clinic. It is one of the main causes of accidental injury of children. With the popularization and development of digestive endoscopy technology in pediatrics across the country,standardized perioperative management is helpful for beginners to shorten the learning curve and reduce the occurrence of complications. This paper will introduce in detail the perioperative management related to digestive endoscopy for the treatment of foreign bodies in the digestive tract,such as equipment,preoperative examination,informed consent,preoperative preparation of patients,operating room layout,possible difficulties encountered during the operation and corresponding measures,postoperative management and follow-up. The perioperative management principles cover a comprehensive range of contents,which contributes to the safe and standardized performance of endoscopic surgery for gastrointestinal foreign body,and provides certain clinical basis and help for primary pediatricians and beginners of endoscopy.

Key words: digestive foreign body, therapeutic endoscopy, perioperative management, child

摘要: 儿童消化道异物是儿科门诊常见的急症之一,也是儿童意外伤害的主要原因之一。随着消化内镜技术在全国儿科的普及及发展,规范的围手术期管理有助于初学者缩短学习曲线、减少并发症的发生。该文将对消化内镜下消化道异物治疗相关的设备器械、术前检查、知情同意、患者术前准备、手术室布局、术中可能遇到的困难及应对措施以及术后处理及随访等围手术期管理做详细介绍。围手术期管理原则涵盖内容全面,有助于消化道异物内镜手术的安全规范进行,为基层儿科及内镜初学者提供临床依据及帮助。 

关键词: 消化道异物, 内镜治疗, 围手术期管理, 儿童