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目的:总结上消化道异物胃镜治疗的体会。方法:选取采用无痛胃镜进行诊治的47例上消化道异物患者,观察治疗效果和并发症,并比较治疗前、治疗中、治疗后患者血压、心率和血氧饱和度等指标的波动情况。结果:经胃镜治疗后,45例成功取出异物,占95.74%;2例由于严重嵌顿未能取出,转为外科手术后痊愈。所有患者均未发生消化道出血、穿孔等严重并发症。与治疗前比较,患者治疗中、治疗后DBP、SBP、HR、SpO2等指标未见明显变化,差异无统计学意义(P>0.05)。结论:采用无痛胃镜治疗上消化道异物成功率高、并发症少,且对患者的生命体征无明显影响,具有良好的临床诊疗价值。
Objective: To summarize the experience of gastroscopic treatment of upper gastrointestinal tract foreign body. Methods: Forty-seven patients with upper gastrointestinal tract who were diagnosed and treated with painless gastroscope were enrolled. The therapeutic effects and complications were observed. The changes of blood pressure, heart rate and oxygen saturation before and after treatment were compared. Results: After gastroscope, 45 cases successfully removed foreign body, accounting for 95.74%; 2 cases were unable to remove due to serious incarceration, and were cured after surgery. All patients did not occur gastrointestinal bleeding, perforation and other serious complications. Compared with before treatment, there was no significant change in DBP, SBP, HR, SpO2 and other indexes in patients after treatment, the difference was not statistically significant (P> 0.05). Conclusion: The painless gastroscope for the treatment of upper gastrointestinal tract foreign body high success rate, fewer complications, and no significant impact on the vital signs of patients with good clinical value.