成年人消化道异物的诊治(附302例临床分析)

对1958—1986年间收治的成年人消化道异物302例进行临床分析.病例中异物达33种之多,形态各异,小如大头针,大如宝剑、酒瓶.进入消化道方式主要从口吞食,少数经肛门塞进.临床表现变化大,诊断延误或处理不当可致严重併发症.为此,本文强调在诊断上成年人主要依靠病史、体检结合X线检查.28例半透明和不透明异物病者吞服少量含有初剂的棉花纤维在X线透明下定位取得满意效果.在处理上强调根据病情,严格掌握手术时机,避免严重并发症

THE DIAGNOSIS AND TREATMENT OF ADULTS CASES WITH FOREIGN BODIES IN THE ALIMENTARY TRACT

Three hundred and two cases of foreign bodies in the alimentary tract of adults treated in the First Hospital of the Chongqing University of Medical Sciences from 1958 to 1986 were analyzed with reference to the varietes and forms of the foreign bodies, their routes and ways of entrance into the alimentary tract and their clinical manifestations. Importance of early diagnosis and opportune treatment is emphasized. For detecting on transparent or semitransparent foreign bodies under fluro-scopy, the swallowed cotton fibers with barium emulsion waS found of help. Management of the cases depends on the condition of the foreign bodies. Early operation is of importance in cases of incarceration of the foreign bodies so as to prevent serious complications