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向德克萨斯州中毒控制中心报告的儿童吞食水精灵事件。

Pediatric Orbeez Ingestions Reported to Texas Poison Centers.

作者信息

Forrester Mathias B

机构信息

From the Department of State Health Services, Austin, TX.

出版信息

Pediatr Emerg Care. 2019 Jun;35(6):426-427. doi: 10.1097/PEC.0000000000001227.

Abstract

OBJECTIVES

There is concern that ingestion of superabsorbent polymer toys, which can absorb large amounts of fluid and increase greatly in volume, may pose a risk if swallowed by children.The intent of this study was to characterize pediatric Orbeez ingestions reported to a statewide poison center system.

METHODS

Cases were Orbeez ingestions among patients 19 years or younger reported to Texas poison centers during January 2011 to June 2016. The distribution by various demographic and clinical factors was determined.

RESULTS

Of 110 total cases, 56% were female and 55% were 5 years or younger. Eighty-six percent of the ingestions were unintentional. Sixty-nine percent occurred at the patient's home and 28% at school. Seventy-eight percent of the patients were managed on site. The reported adverse effects were vomiting (4%), abdominal pain (3%), constipation (1%), diarrhea (1%), and fever (1%). The reported treatments were dilution (42%), food or snack (16%), other emetics (1%), whole bowel irrigation (1%), antihistamines (1%), and intravenous fluids (1%).

CONCLUSIONS

Pediatric Orbeez ingestions tended to involve younger children, were unintentional, and occurred at the child's home or school. Most ingestions were managed outside of a healthcare facility. This study provides further evidence that ingestion of Orbeez by children is not likely to result in serious problems, such as intestinal obstruction. The information in this investigation may assist in prevention and education activities.

摘要

目的

人们担心儿童吞食高吸水性聚合物玩具存在风险,这类玩具能吸收大量液体并大幅膨胀。本研究旨在描述向全州中毒控制中心系统报告的儿童吞食水精灵珠的情况。

方法

研究对象为2011年1月至2016年6月期间向德克萨斯州中毒控制中心报告的19岁及以下吞食水精灵珠的患者。确定了各种人口统计学和临床因素的分布情况。

结果

在110例病例中,56%为女性,55%年龄在5岁及以下。86%的吞食是无意的。69%发生在患者家中,28%发生在学校。78%的患者在现场得到处理。报告的不良反应有呕吐(4%)、腹痛(3%)、便秘(1%)、腹泻(1%)和发热(1%)。报告的治疗方法有稀释(42%)、食物或零食(16%)、其他催吐剂(1%)、全肠灌洗(1%)、抗组胺药(1%)和静脉输液(1%)。

结论

儿童吞食水精灵珠多涉及幼儿,多为无意,且发生在儿童家中或学校。大多数吞食情况在医疗机构外得到处理。本研究进一步证明儿童吞食水精灵珠不太可能导致肠梗阻等严重问题。本调查中的信息可能有助于预防和教育活动。

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