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多枚磁性异物导致儿童严重消化道损伤

Multiple Magnetic Foreign Bodies Causing Severe Digestive Tract Injuries in a Child.

作者信息

Si Xinmin, Du Baofeng, Huang Lei

机构信息

Department of Gastroenterology, the First Affiliated Hospital of Nanjing Medical University, Nanjing, China.

Department of Pediatric Surgery, Nanjing Children's Hospital Affiliated to Nanjing Medical University, Nanjing, China.

出版信息

Case Rep Gastroenterol. 2016 Nov 25;10(3):720-727. doi: 10.1159/000450538. eCollection 2016 Sep-Dec.

Abstract

Foreign body (FB) ingestion is a common emergency as well as a major cause of accidental injury and represents a severe public health problem in childhood, especially in infants. Most cases of FB ingestion reported in children aged between 6 months and 3 years depend primarily on the fact that young children are more likely to explore objects using their mouth and are not able to distinguish edible objects from nonedible ones, their teeth are physiologically lacking, and they have poor swallowing coordination. Although, sometimes it can cause serious complications, FB ingestion generally has a low mortality rate. However, accidental ingestion of magnetic toys, as a rare kind of FB mostly encountered in children, has now become more common due to the increased availability of objects and toys with magnetic elements. The majority of magnetic FB traverse the gastrointestinal (GI) system spontaneously without complication, but in rare cases may cause severe damages to the GI tract due to its special pathogenesis [Kay and Wyllie: Curr Gastroenterol Rep 2005;7: 212-218]. Ingestion of multiple magnets may be related to increased morbidity resulting in a delay of recognition of FB injury that can lead to serious complications and require surgical resolution.

摘要

异物吞食是一种常见的急症,也是意外伤害的主要原因,在儿童期尤其是婴儿期是一个严重的公共卫生问题。6个月至3岁儿童报告的大多数异物吞食病例主要是因为幼儿更倾向于用嘴探索物体,且无法区分可食用物体和不可食用物体,他们生理上缺牙,吞咽协调性差。虽然有时异物吞食会导致严重并发症,但总体死亡率较低。然而,意外吞食磁性玩具作为儿童中较少见的一种异物,由于含磁性元素的物品和玩具增多,现在变得更为常见。大多数磁性异物会自发穿过胃肠道系统而无并发症,但在极少数情况下,因其特殊的发病机制可能会对胃肠道造成严重损害[凯和威利:《当代胃肠病学报告》2005年;7:212 - 218]。吞食多个磁铁可能与发病率增加有关,导致异物损伤的识别延迟,进而引发严重并发症并需要手术解决。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fadc/5216246/a0b798b2c437/crg-0010-0720-g01.jpg

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