食管异物252例临床分析

摘要：目的??探讨食管异物的临床特点及相应的治疗方法。方法?收集2010年6月－2018年6月该院收治的252例食管异物患者的临床资料。其中，男114例，女138例，年龄1～87岁，中位年龄52岁。所有患者均有明确的误吞或自食异物病史，并伴有吞咽困难及吞咽疼痛等症状，均行胸部X线、CT或食管钡剂检查以确诊。结果?成人异物种类以植物性最多见，枣核为67.06%；其次为动物性，骨头为15.87%。小儿异物绝大部分为硬币，占8.33%。异物停留部位最多为食管上段（93.25%），其次为食管中段，占4.76%，食管下段极其少见。行硬性食管镜取出异物者占绝大多数（92.85%），所有患者中出现严重并发症者13例。结论?食管异物为耳鼻咽喉科常见的急诊之一，多见于老年人及儿童，应及时就诊，延误治疗可引起一系列并发症。

Clinical analysis of 252 cases of esophageal foreign bodies

Abstract: Objective?To explore the clinical characteristics and the corresponding treatment of esophageal foreign bodies.?Methods?Clinical data of 252 patients with esophageal foreign body from 2010 to 2018 was collected. Among which, 114 were male, 138 cases were female, aged 1 ~ 87, the median age is 52 years old. All the patients have a clear history of foreign bodies ingestion or eat, along with dysphagia and swallowing pain and other symptoms, chest X-ray/CT or esophageal barium examination to diagnose.?Results?Most common adult foreign species to plant, such as the date of about 67.06%; Followed by animal, such as bone is about 15.87%. Most children foreign bodies were coins, accounts for about 8.33%. Position eyewinker stays on for esophageal segment (93.25%), followed by the middle esophagus, accounts for about 4.76%, the lower esophagus is extremely rare. Line rigid esophagoscope remove foreign bodies are the vast majority (92.86%), 13 cases of severe complication in all these patients.?Conclusion?Esophageal foreign body is one of the common emergency of division of otolaryngology, sees more at old people and children, should be timely diagnosis, delay in treatment can cause a series of complications.