Ibekwe Titus S, Fasunla James A, Akinola Moronke D, Nwaorgu Onyekwere G B
Department of Otorhinolaryngology, University College Hospital, Ibadan, Nigeria.
N Z Med J. 2008 Apr 18;121(1272):86-8.
Most ingested foreign bodies in the aero-digestive tracts in both children and adults are not radio-opaque, and as a result, a preoperative plain radiograph may not be helpful. However, incorporating radio-opaque markers into such potential foreign bodies like toys, beads, and dentures during manufacture (as illustrated in this case of a 6-year-old boy who ingested a piece of glass mirror which was easily seen on X-ray) would obviate this problem. While this may constitute some financial burden on manufacturers, the cost effectiveness on health management is non-negotiable. We suggest that appropriate authorities and regulatory bodies should enforce this through legislation.
大多数儿童和成人在气道和消化道摄入的异物并非不透射线,因此术前的普通X光片可能并无帮助。然而,在制造玩具、珠子和假牙等潜在异物时加入不透射线的标记物(如本案例中一名6岁男孩吞下的一块玻璃镜子在X光片上很容易看到),将可避免这个问题。虽然这可能会给制造商带来一些经济负担,但在健康管理方面的成本效益是无可争议的。我们建议相关当局和监管机构应通过立法来强制执行这一规定。