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吞食磁珠导致的肠扭转:儿童中的意外风险

[Intestinal volvulus caused by the ingestion of magnet balls: unexpected risk in children].

作者信息

Kubačková D, Nosek J, Třeška V, Vacek V, Pizingerová K

出版信息

Rozhl Chir. 2015 May;94(5):204-6.

Abstract

INTRODUCTION

The occurrence of swallowed foreign bodies in the digestive system is a common problem in children with the highest incidence in children aged six months to five years. Most swallowed objects leave the human body per vias naturales while 10-20% of swallowed foreign bodies need to be removed with an endoscope. Serious and life-threatening situations are caused by the ingestion of foreign bodies in about 1% of all cases.

CASE REPORT

The authors present a case of a two-year-old girl diagnosed with acute abdomen for which she was operated on. A small bowel volvulus and several intestinal fistulas were found intraoperatively. The cause of this finding was the ingestion of magnetic balls and a swallowed metal body drawn to them by magnetic force.

CONCLUSION

If more than one magnetic body is ingested, it is necessary to admit the patient to hospital and to remove these foreign bodies using an endoscope. The position of the magnets which is not changing in a location inaccessible for an endoscope during 2448 hours is an indication for urgent operation.

摘要

引言

消化系统中异物吞食现象在儿童中是一个常见问题,在6个月至5岁的儿童中发病率最高。大多数吞食的物体通过自然途径排出人体,而10% - 20%的吞食异物需要通过内窥镜取出。在所有病例中,约1%的异物吞食会导致严重的危及生命的情况。

病例报告

作者介绍了一名两岁女童的病例,该女童因诊断为急腹症而接受手术。术中发现小肠扭转和多处肠瘘。这一发现的原因是吞食了磁球以及一个被磁力吸引的吞食金属物体。

结论

如果吞食了不止一个磁性物体,有必要让患者住院并通过内窥镜取出这些异物。在24 - 48小时内,磁体位于内窥镜无法到达的位置且位置不变,这是紧急手术的指征。

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