Raquillet C, Guérin F, Martelli H, Goldszmidt D, Gauthier F, Wildhaber B E
Service de chirurgie pédiatrique, hôpital Bicêtre, AP-HP, 78, rue du Général-Leclerc, 94275 Le Kremlin-Bicêtre cedex, France.
Arch Pediatr. 2008 Jun;15(6):1095-8. doi: 10.1016/j.arcped.2008.02.017. Epub 2008 Apr 22.
Complications related to the ingestion of magnetic foreign bodies by children represents an affirmed health hazard in the United States. In France, an alert has been announced. We report the 1st case in France. Our aim is to alert pediatricians and emergency physicians and to draw attention to the particularities of this type of foreign body. Responsible for complications is the ingestion of at least 2 magnets, or 1 magnet and a metallic foreign body, with a time interval between ingestions. In these cases, it is strongly recommended to extract the foreign bodies with endoscopy if they have not yet passed the pylorus. For those further advanced in the intestinal tract, continuous observation is warranted and surgical extraction is indicated on apparition of 1st clinical symptoms.
在美国,儿童摄入磁性异物相关的并发症是一种确定的健康危害。在法国,已发布警报。我们报告了法国的首例病例。我们的目的是提醒儿科医生和急诊医生,并引起对这类异物特殊性的关注。导致并发症的原因是摄入至少2块磁铁,或1块磁铁和1个金属异物,且两次摄入之间有时间间隔。在这些情况下,如果异物尚未通过幽门,强烈建议通过内镜取出异物。对于那些已进入肠道更深处的异物,应进行持续观察,一旦出现首个临床症状即需进行手术取出。