| 小儿上消化道异物及内镜处理 |
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| 引用本文： | 许国铭,沈洁.小儿上消化道异物及内镜处理[J].中华儿科杂志,1996,34(5):304-305. |
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| 作者姓名： | 许国铭 沈洁 |
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| 作者单位： | [1]第二军医大学附属长海医院消化内科 [2]上海市第一人民医院 |
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| 摘 要： | 为提高小儿上消化道异物的诊治水平，自１９８１年始将纤维胃镜用于该病的诊断和治疗，至１９９５年底共为７１例消化道异物患儿做了内镜诊断与治疗，年龄为生后当日～１２岁，６８例患儿在内镜直视下成功取出各类异物，无一例有并发证，４岁以下小儿作静脉麻醉，术中需严密监测呼吸及血氧饱和度；５岁以上儿童可仅作咽喉麻醉。良好的器械与熟练的内镜技术是能否成功取出异物的关键。临床观察结果表明，应用内镜处理小儿上消化道异物
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| 关 键 词： | 上消化道异物 胃镜检 儿童 |
Endoscopicmanagementofuppergastrointestinaltractforeignbodiesinchildren |
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| XuGuoming,ShenJie,LiZhaoshen,et al..Endoscopicmanagementofuppergastrointestinaltractforeignbodiesinchildren[J].Chinese Journal of Pediatrics,1996,34(5):304-305. |
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| Authors: | XuGuoming ShenJie LiZhaoshen |
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| Institution: | XuGuoming*,ShenJie,LiZhaoshen,etal.*DepartmentofGastroenterology,ChanghaiHospital,SecondMilitaryMedicalUniversity,Shanghai200433 |
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| Abstract: | Tostudymethodsforendoscopicmanagementofuppergastrointestinal(UGI)foreignbodiesinchildren,weappliedgastroscopyin71Children0dayto12yearsofagewithUGIforeignbodiesfrom1981to1995.Theforeignbodiesweresuccessfulyremovedin68caseswithoutanycomplication.Theresultsindicatedthatduringtheoperation,childrenundertheageof4yearsshouldbegivenintravenousanesthesiaandtherespirationandarterialoxygensaturationshouldbecloselymonitoredandthatforpatientsover5yearsofage,locallaryngopharynxanesthesiaasusedinadultsworkedwel.Itwasessentialtohavegoodinstrumentsandskilfulendoscopictechnique.Weconcludethatendoscopictherapyisasimpleandsafemethodinthetreatmentofpediatricuppergas-trointestinalforeignbodies. |
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| Keywords: | ForeignbodiesGastroscopyDigestivesystem |
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