Đánh giá đặc điểm lâm sàng, cận lâm sàng và kết quả điều trị dị vật thực quản tại bệnh viện Tai mũi họng Cần Thơ

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Chiêu Hòa Châu

Ngôn ngữ: vie

Ký hiệu phân loại: 611.32 Pharynx, tonsils, esophagus

Thông tin xuất bản: Y học Việt Nam, 2018

Mô tả vật lý: 73-77

Bộ sưu tập: Metadata

ID: 541125

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Background: Esophageal foreign body is an emergency in ENT, the diagnosis and treatment are difficult. This disease's common and dangerous. Objectives: Desenbe the clinical, paraclinical characteristics and evaluate the results of treatment esophageal foreign body. Materials and Methods: This is a cross-sectional descriptive with 90 patient of esophageal foreign body, treatment by rigid esophagoscopy at Can Tho ENT Hospital, Data were analyzed by SPSS 18.0 software. Results: Fish bones (46,67%), poultry bones (16,67%), pills (12,22%), coins (8,89%), average size is 2,59 ± 0,93 cm. Difficult swallowing (91,11%), pain swallowing (90%), inability to eat (67,78%). Duration of Illness was less than 24 hours (76,67%). X-ray confirmed the presence foreign body in esophagus (68,89%), increases the number of white blood cells by disease stage, especially neutrohils (p<
0,001). Removing foreign bodies success (97,78%), damaging muscle of esophagus (2,22%). Results of treatment: good (94,44%), not good (5,56%), bad (0%). Ali of cases were treatment suecessfully. Conclusion: Rigid esophagoscopy in treatment esophageal foreign body has shown good results.Đánh giá đặc điểm lâm sàng, cận lâm sàng và kết quả điều trị dị vật thực quản trên 90 bệnh nhân tại bệnh viện Tai mũi họng Cần Thơ. Kết quả cho thấy dị vật là xương cá chiếm 46,6%
xương gia cầm chiếm 16,67%
viên thuốc chiếm 12,22%
đồng xu chiếm 8,89%
kích thước trung bình là 2,59 ± 0,93cm. Triệu chứng chính là nuốt vướng - nghẹn, nuốt đau, không ăn uống được. Thời gian hóc dị vật đến khi nhập viện trước 24h chiếm 76,67%. X quang thực quản cổ nghiêng có hình ảnh dị vật là 68,89%. Soi lấy dị vật thành công đạt 97,78%, tổn thương cơ thực quản là 2,22%.

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