食管内异物并发症的危险因素分析

摘要：目的寻找可能导致食管内异物患者发生并发症的危险因素,为预防并发症的发生提供循证医学证据。方法总结2012年9月~2016年9月收治住院的食管异物患者235例的相关临床资料。通过对患者年龄、性别、异物种类、大小、形状、滞留时间及处理方式进行统计学分析。结果食管内异物并发症的发生与就诊是否及时，是否有强行努力吞咽动作病史，异物的形状，异物的滞留轴向有关；与患者的年龄、性别、异物的大小、异物的种类、异物的滞留部位、麻醉方法及取出方式等无关。结论食管内异物患者并发症的发生率较高，一旦误吞异物，尽量不要强行吞咽动作，并尽早就诊取出异物或能降低并发症的发生几率。

Analysis on risk factors for complications of esophageal foreign body

Abstract:ObjectiveTo find out the risk factors for complications of esophageal foreign body so as to provide evidences for the prevention of complications.MethodsClinical data of 235 patients suffering from esophageal foreign body and hospitalized in our department from Sept.2012 to Sept.2016 were studied retrospectively. The analyzed parameters included age and gender of patients,variety, size, shape and residence time as well as the removal method of foreign bodies.ResultsStatistical analysis showed that the incidence of complications was associated with time of seeking medical advice, history offorceful swallowing,shape and residence direction of foreign body. The analysis also showed that the incidence was not associated with age and gender of patients, variety, size and residence location of foreign bodies, as well as anesthesia and removal methods.ConclusionsWith high incidence of complication, once foreign body is swallowed by mistake, the patient should seek timely medical advice and surgical removal instead of forceful swallowing in order to reduce incidence of complication.