中国实用儿科杂志

中国实用儿科杂志 ›› 2021, Vol. 36 ›› Issue (12): 916-920.DOI: 10.19538/j.ek2021120607

• 专题笔谈 • 上一篇    下一篇

儿童消化道果核类异物处理原则

  

  1. 郑州大学附属儿童医院  河南省儿童医院消化科，河南  郑州  450008 
  • 出版日期:2021-12-06 发布日期:2022-02-17
  • 通讯作者: 李小芹，电子信箱：lixiaoqinys@126.com

Management principles of foreign bodies like fruit cores in children’s digestive tract

  1. Department of Gastroenterology，Children’s Hospital Affiliated to Zhengzhou University，Henan Children’s Hospital，Zhengzhou  450008，China
  • Online:2021-12-06 Published:2022-02-17

摘要： 误吞异物多发生于6月龄至6岁儿童，多数异物可自然排出体外。其中误吞尖锐果核在我国儿童中具有较高的发生率，尤其是嵌顿在食管的尖锐果核需早期识别并紧急处理，若未及时诊断处理，可能并发严重的食管穿孔或瘘，侵犯主动脉弓甚至危及生命。因此，加强消化道异物宣教，避免儿童误吞尖锐果核等特殊异物，以及误吞该类异物后给予规范处理，这些方面对预防和管理消化道尖锐果核类特殊异物均很重要。

关键词: 儿童, 消化道特殊异物, 尖锐果核

Abstract:

Foreign body ingestion mostly occurs in children aged 6 months to 6 years，and most objects can be excreted naturally. Among these，the incidence of accidental ingestion of sharp fruit core is very high among children in our country；especially，sharp fruit core stuck in the esophagus needs to be identified early and treated urgently. If not diagnosed and treated in time，severe esophageal perforation or fistula may occur，infringing on the aortic arch，or even being life-threatening．Therefore，it’s important to strengthening the education of foreign bodies in the digestive tract to prevent children from mistakenly ingesting special foreign bodies such as sharp fruit core and to give standardized management，which plays a vital role in the prevention and management of special foreign objects such as sharp fruit core in the digestive tract.

Key words: child, digestive specific foreign bodies, sharp fruit cores