成人食管异物急诊处置专家共识(2020版)

2021-01-10 国内急诊/重症相关专家小组(统称) 中华急诊医学杂志, 2021,30(1) : 25-30.

食管异物是指在食管内因难以排出而滞留的各类物体,是临床中常见的一种急症。在中国人群中,异物滞留在食管内的比例能达到上消化道异物的85%左右。目前,国际和国内的指南或专家共识通常针对吞入消化道异物的诊治

中文标题:

成人食管异物急诊处置专家共识(2020版)

发布日期:

2021-01-10

简要介绍:

食管异物是指在食管内因难以排出而滞留的各类物体,是临床中常见的一种急症。在中国人群中,异物滞留在食管内的比例能达到上消化道异物的85%左右。目前,国际和国内的指南或专家共识通常针对吞入消化道异物的诊治方法,如美国胃肠内镜学会(ASGE)发布的吞入异物的处理指南、欧洲胃肠内镜学会(ESGE)发布的成人上消化道异物移除的临床指南、美国伦琴射线学会刊登的吞入异物的影像学指南、中华医学会消化内镜学分会发布的上消化道异物内镜处理专家共识等,世界急诊外科学大会在2019年发布了食管损伤的急救指南,而国内针对食管异物急救诊治的共识和指南尚不完善。由于食管位于后纵隔,邻近主动脉、气管、心脏等多个重要的组织结构,若对异物处理不及时或处理方式不当,可能会造成严重并发症,甚至危及患者的生命。为此,依据我国近期发表的食管异物诊治的研究,并参考国际相关指南,由浙江省医学会创伤医学分会牵头,联合急诊科、消化科、耳鼻喉科、心胸外科、胃肠外科、影像科、麻醉科、重症医学科等多学科专家共同制定本共识。本专家共识拟解决的问题:⑴食管异物首选的影像学检查手段和造影剂的选择;⑵食管异物中胃镜和食管镜的选择和操作时机;⑶血管内支架置入的选择时机。

 

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    2021-11-07 1482963am12暂无昵称

    学习了,非常不错的指南

    0

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    2021-10-04 橡皮檫

    学习到了,知识非常强大

    0

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    2021-10-04 橡皮檫

    0

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    2021-09-21 小路非

    学习了

    0

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