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多重磁铁吞食致肠穿孔。

Bowel perforations induced by multiple magnet ingestion.

机构信息

Department of Emergency Medicine, Chonnam National University Hospital, Gwangju, Korea.

出版信息

Emerg Med Australas. 2010 Apr;22(2):189-91. doi: 10.1111/j.1742-6723.2010.01276.x.

Abstract

We report two cases of bowel perforation that presented to the ED after ingesting multiple magnets as diagnosed with exploratory laparotomy. Foreign body ingestion is a common occurrence in the paediatric population. Diagnosis is often delayed because it is difficult to obtain a precise history of foreign body ingestion. Fortunately, in many cases, ingested foreign bodies pass spontaneously without complications. However, surgical intervention is required for about one percent of foreign body ingestions. Multiple magnet ingestion produces bowel injuries, including bowel obstruction, ischaemia, necrosis, perforation and fistula formation, finally requiring surgical intervention. The incidence, which is rare, of magnet ingestion with complications has increased as a result of the popularity of magnetic toys. This case report highlights the complications that might occur with multiple magnet ingestion. We aim to alert physicians that multiple magnet ingestion can be a serious matter.

摘要

我们报告了两例因吞食多个磁铁后出现肠穿孔而到急诊科就诊的病例,这些病例通过剖腹探查术确诊。异物吞食在儿科人群中很常见。由于难以获得确切的异物吞食史,因此诊断往往会被延误。幸运的是,在许多情况下,吞食的异物会自行排出而没有并发症。然而,大约有 1%的异物吞食需要进行手术干预。多个磁铁吞食会导致肠损伤,包括肠梗阻、缺血、坏死、穿孔和瘘管形成,最终需要手术干预。由于磁性玩具的普及,这种并发症的磁铁吞食发病率很低,但却有所增加。本病例报告强调了多个磁铁吞食可能出现的并发症。我们旨在提醒医生,多个磁铁吞食可能是一个严重的问题。

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