摘要
目的为了更好地诊断和治疗老年食管异物，防止误诊、漏诊和并发症。方法对１９７１～１９９６年２５年间经治的老年食管异物２２５例进行回顾性研究。结果２１８例异物经食管镜取出，１例取异物过程中滑入胃由肛门排出，２例自动呕出，４例经颈径路切开食管取出，１例食管镜取异物后并发食管穿孔，后继发纵隔脓肿死亡，１例食管癌合并异物食管镜取异物后肺大疱破裂，并发气胸、频发性室早和心肌损害。结论对老年食管异物必须注意心肺功能，警惕食管癌合并异物，通常以局麻取异物较为安全。
Objective To improve the diagnosis and treatment of foreign bodies in the elderly,in order to prevent misdiagnosis and minimize the occurrence of complications. Methods A retrospective study was performed in 225 cases of elderly patients(over 60 years of age)with esophageal foreign bodies admitted to this hospital in 1971～1996. Results Among the 225 cases,foreign bodies were removed by esophagoscopy in 218 cases(in 1,the foreign body slipped to the gastrointestinal tract during the procedure (and later expelled in the feces),the foreign bodies were vomited out in 2 cases.in 4 they were removed after excision through the neck,1 case was complicated with esopilageal perforation and the patient died later due to mediastinal abscess,and another case had a preexisting esophageal cancer and after esophagoscopic removal of the foreign body,there was a breakage of the lung bullae,complicated with pneumothorax,frequent ventricular extrasystole and myocardial damage. Conclusions In foreign bodies in the elderly,care should be paid to the cardiac and pulmonary function.In general,esophagoscopy may be performed under local anesthesia,but for unusual foreign bodies,genral anesthesia is recommended.
出处
《实用老年医学》
CAS
1998年第6期258-259,共2页
Practical Geriatrics
关键词
食管异物
诊断
治疗
Esophageal foreign bodies Clinical diagnosis Treatment
