De Roo Ana C, Thompson Meghan C, Chounthirath Thiphalak, Xiang Huiyun, Cowles Nancy A, Shmuylovskaya Liliya, Smith Gary A
1Center for Injury Research and Policy, The Research Institute at Nationwide Children's Hospital, Columbus, OH, USA.
Clin Pediatr (Phila). 2013 Nov;52(11):1006-13. doi: 10.1177/0009922813507129.
This study describes the epidemiology of rare-earth magnet ingestion by children by retrospectively analyzing 72 cases of magnet ingestion collected from Saferproducts.gov and the US Consumer Product Safety Commission from 2000 through 2012. The mean child age was 6.4 years. Patients ingested between 1 and 40 magnets, most often 1 to 4 magnets. Unique circumstances of ingestion included faux piercing (19.4%) and mistaking magnets for candy (6.9%). Surgery was required in 69.7% of cases where treatment was reported. Fifty-three patients were hospitalized (73.6%), and the length of hospital stay was reported in 58.5% of those cases, ranging from 1 to 54 days. Approximately half (50.7%) of the magnets causing injury were products intended for use by adults. Study findings demonstrate that pediatric ingestion of rare-earth magnets can cause serious gastrointestinal injury. Establishing a performance standard that limits the attraction force of these magnets offers the best prevention solution to this important pediatric public health problem.
本研究通过回顾性分析2000年至2012年从Saferproducts.gov和美国消费品安全委员会收集的72例儿童吞食稀土磁铁的病例,描述了儿童吞食稀土磁铁的流行病学情况。儿童的平均年龄为6.4岁。患者吞食的磁铁数量在1至40枚之间,最常见的是1至4枚。吞食的特殊情况包括假穿孔(19.4%)和误将磁铁当作糖果(6.9%)。在报告了治疗情况的病例中,69.7%的病例需要进行手术。53名患者住院(73.6%),其中58.5%的病例报告了住院时间,住院时间从1天到54天不等。造成伤害的磁铁中约一半(50.7%)是供成人使用的产品。研究结果表明,儿童吞食稀土磁铁会导致严重的胃肠道损伤。制定限制这些磁铁吸引力的性能标准为解决这一重要的儿童公共卫生问题提供了最佳预防方案。