大理大学学报 ›› 2020, Vol. 5 ›› Issue (2): 6-8.DOI: 10. 3969 / j. issn. 2096-2266. 2020. 02. 002

• 中华医学会2019年小儿外科西部行专栏 • 上一篇    下一篇

海绵宝宝致儿童消化道梗阻13例诊治分析

张雪琴,白 强,董克刚   

  1. (昆明医科大学附属昆明市儿童医院普外科,昆明 650228)
  • 收稿日期:2019-08-22 修回日期:2019-09-11 出版日期:2020-02-15 发布日期:2020-02-15
  • 作者简介:张雪琴,主治医师,主要从事小儿普外胃肠疾病研究。

Analysis of Diagnosis and Management of 13 Cases of Digestive Tract Obstruction Caused by#br# Orbeez in Children

Zhang Xueqin, Bai Qiang, Dong Kegang   

  1. (Department of General Surgery, Affiliated Kunming Children′s Hospital of Kunming Medical University, Kunming 650228, China)
  • Received:2019-08-22 Revised:2019-09-11 Online:2020-02-15 Published:2020-02-15

摘要: 目的:总结海绵宝宝致儿童消化道梗阻的临床特点和治疗经验。 方法:回顾性研究昆明医科大学附属昆明市儿童医院
2017年3月至2019年7月收治的13例因误食海绵宝宝所引起消化道梗阻病例的临床资料,对其临床表现、检查诊断和治疗方
法进行分析。 结果:本组13例均有不同程度消化道梗阻的临床和影像学表现,经保守治疗病情加重而行手术探查,于术中明
确为海绵宝宝所致梗阻,其中2例行肠管切开异物取出术,另11例于术中捏碎异物行肠管内减压至结肠后待其自行排出,全组
病例均获治愈。 结论:儿童误食海绵宝宝所致肠梗阻多位于小肠,常不易自行排出,一经诊断应尽早手术探查,推荐在术中将
其捏碎行肠管内减压至结肠后待其自行排出。

关键词: 肠梗阻, 消化道异物, 海绵宝宝, 儿童

Abstract: Objective: To summarize the clinical features and therapeutic experiences of digestive tract obstruction caused by Orbeez
in children. Methods: A retrospective study was carried out on the clinical manifestations, examinations and treatments with 13 cases
of digestive tract obstruction caused by Orbeez in children from March 2017 to July 2019 in Affiliated Kunming Children′s Hospital of
Kunming Medical University. Results: All 13 cases had clinical and imaging manifestations of different degrees of digestive tract
obstruction, the conditions were aggravated after conservative treatment, and surgical explorations were performed. In the operation, it
was found that the obstructions were caused by Orbeez. 2 cases were performed by enterotomy to remove the foreign bodies. The other
11 cases were treated by decompression from the intestinal tract to the colon after squeezing the foreign bodies. All the cases were
cured. Conclusion: Intestinal obstructions caused by Orbeez are mostly located in the small intestine, and it is often difficult to excrete
by themselves. Prompt surgical exploration is required as soon as possible after diagnosis, and it is recommended to crush and
decompress the foreign bodies in the intestine to the colon and waited for excretion.

Key words: intestinal obstruction, foreign bodies in digestive tract, Orbeez, children