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1984年1月至1990年5月,我院共收治食管异物192例,其中老年人45例,占23.4％,现分析如下。一、一般资料本组45例,男23例,女22例;年龄60～82岁。就诊时间最短半小时,最长15天。45例均有明显的异物史及吞咽疼痛或不能进食、流涎等症状,其中颈部明显疼痛、压痛者26例,颈部肿大、活动受限2例,胸骨后刺痛、叩击痛19例,吐血3例。发热6例。并发食管感染大出血死亡1例;食管瘘及胸膜炎1例;食管炎3例,颈部皮下气肿1例;颈部脓肿2例。
January 1984 to May 1990, our hospital received a total of 192 cases of foreign bodies in the esophagus, of which 45 cases of elderly, accounting for 23.4%, are analyzed as follows. First, the general information The group of 45 patients, 23 males and 22 females; aged 60 to 82 years. Shortest half-hour treatment time, up to 15 days. 45 cases had obvious history of foreign body and swallowing pain or can not eat, salivation and other symptoms, including neck pain, tenderness in 26 cases, enlargement of the neck, limited mobility in 2 cases, post-sternal tingling, percussion pain 19 For example, hematemesis 3 cases. Fever in 6 cases. 1 case of esophageal fistula and pleurisy, 3 cases of esophagitis, 1 case of subcutaneous emphysema in the neck and 2 cases of neck abscess.