当教室ＰＴＰ食道異物の統計観察とその対策　全国ＰＴＰ食道異物報告集計

DOI 被引用文献14件 参考文献104件

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タイトル別名
  • Statistic Observation of PTP Foreign Bodies of the Esophagus and Their Prevention.
  • 全国PTP食道異物報告集計

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A statistical study was made of 51 cases of PTP (press-through-pack) among 186 cases of foreign bodies in the esophagus at our clinic and of 635 cases obtained from reports in Japan between 1974 and 1994. The results were as follows.<BR>1) Our series included 21 males and 30 females aged from 15 to 87 years (mean age: 62.7 years). The incidence of PTP for all cases of esophageal foreign bodies was 27.5%.<BR>2) The sites of the PTP were the cervical esophagus (51.0%), the middle esophagus (37.3%), and the lower esophagus (11.6%). However, between males and females, the rate of incidence was higher in the cervical esophagus in females than in males.<BR>3) The annual incidence gradually increased from 10.9% (1976) to 44.8% (1994) compared to other esophageal foreign bodies.<BR>4) Bleeding and edematous swelling of the esophageal mucosa were observed in all cases during operations. Some revealed granulation around the foreign bodies without perforation.<BR>5) Treatments were performed under open tube esophagoscopy under general anesthesia, except in one case.<BR>6) 635 cases were obtained from reports in Japan. Their ages ranged from 9 to 92 years, and females showed a higher incidence of PTP than males. Also, annual incidence increased in older persons, especially in females.<BR>7) To avoide the PTP esophageal foreign bodies, the forms and materials of PTP were discussed from the veiwpoint of medical institutes, pharmacologists and patients.

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