Kurowski Jacob A, Kay Marsha
Department of Pediatric Gastroenterology, Hepatology and Nutrition, Cleveland Clinic Foundation, 9500 Euclid Avenue, Dept A111, Cleveland, OH 44195-0001, USA.
Department of Pediatric Gastroenterology, Hepatology and Nutrition, Cleveland Clinic Foundation, 9500 Euclid Avenue, Dept A111, Cleveland, OH 44195-0001, USA.
Pediatr Clin North Am. 2017 Jun;64(3):507-524. doi: 10.1016/j.pcl.2017.01.004.
Children inevitably swallow foreign material accidentally or intentionally. Each type of ingestion carries their own set of risks and complications, short and long term, some requiring immediate attention while others close monitoring. Alkalotic household cleaning products and lithium button batteries are increasingly common and damage the esophagus quickly. While many toys with rare-earth metals are banned, they are already present in many households and can cause necrosis of bowel that is between the magnets. This article reviews the incidence and assessment along with current literature to provide guidelines for management of pediatric patients with suspected caustic or foreign body ingestion.
儿童不可避免地会意外或故意吞食异物。每种类型的吞食都有其自身的一系列短期和长期风险及并发症,有些需要立即关注,而有些则需要密切监测。碱性家用清洁产品和锂纽扣电池越来越常见,会迅速损害食管。虽然许多含稀土金属的玩具已被禁止,但它们已存在于许多家庭中,可能导致磁体之间的肠道坏死。本文回顾了发病率和评估情况以及当前文献,以提供疑似腐蚀性物质或异物吞食的儿科患者管理指南。