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儿童异物摄入的管理:纽扣电池和磁铁

Management of foreign body ingestions in children: button batteries and magnets.

作者信息

Kodituwakku Ronan, Palmer Sarah, Paul Siba Prosad

机构信息

Trainee Physician Associate, Peninsula College of Medicine and Dentistry, Plymouth.

Paediatric Sister in Emergency Department, Yeovil District Hospital, Yeovil.

出版信息

Br J Nurs. 2017 Apr 27;26(8):456-461. doi: 10.12968/bjon.2017.26.8.456.

Abstract

Foreign body ingestion and foreign body aspiration commonly affect young children between 6 months and 6 years. A large number of these events remain unwitnessed and asymptomatic while the swallowed foreign body traverses the gastrointestinal tract and is passed in the stool. Recent literature has shown an increase in morbidity associated with button battery and (neomydium) magnet ingestions in children, particularly over the last decade. Early identification and management in a time critical manner is required in cases where button batteries get lodged in the oesophagus or multiple magnets are swallowed. Deaths, although rare, have been reported with these dangerous foreign body ingestions in children where diagnoses were delayed. Nurses through their direct contact with children in different clinical settings play a vital role in managing foreign body ingestions.

摘要

异物吞食和异物误吸常见于6个月至6岁的幼儿。在吞下的异物穿过胃肠道并随粪便排出时,大量此类事件未被目击且无症状。最近的文献表明,儿童吞食纽扣电池和(新钕)磁铁导致的发病率有所增加,尤其是在过去十年中。如果纽扣电池卡在食管中或儿童吞下多块磁铁,需要及时进行早期识别和处理。虽然儿童因这些危险的异物吞食导致死亡的情况很少见,但已有因诊断延误而导致死亡的报道。护士在不同临床环境中与儿童直接接触,在处理异物吞食方面发挥着至关重要的作用。

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