Wildhaber Barbara E, Le Coultre Claude, Genin Bernard
Pediatric Surgery, University of Children's Hospital, 1211 Geneva, Switzerland.
J Pediatr Surg. 2005 Oct;40(10):e33-5. doi: 10.1016/j.jpedsurg.2005.06.022.
Foreign body ingestion is frequent in children and generally associated with little morbidity. However, some foreign bodies are innocent when ingested as a single object, but may have harmful effect if numerous. We report a 9-year-old girl who swallowed 5 magnets, causing acute intestinal obstruction. At laparotomy, 2 magnets were found in the cecum and 3 in the transverse colon, attracting each other and clasping a segment of ileum in between, causing a complete obstruction of the small intestine. If numerous magnets are ingested, particular concern is advised, and if signs of intestinal distress develop, prompt laparotomy to prevent serious gastrointestinal complications should be performed.
儿童吞食异物的情况很常见，一般发病率较低。然而，有些异物单独吞食时并无大碍，但如果数量众多则可能产生有害影响。我们报告一名9岁女孩，她吞食了5颗磁铁，导致急性肠梗阻。在剖腹手术中，发现盲肠中有2颗磁铁，横结肠中有3颗，它们相互吸引并夹住其间的一段回肠，导致小肠完全梗阻。如果吞食了大量磁铁，应格外关注，一旦出现肠道不适症状，应立即进行剖腹手术以预防严重的胃肠道并发症。
