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儿科人群中与稀土磁体摄入相关的损伤:综述

Rare-Earth Magnet Ingestion-Related Injuries in the Pediatric Population: A Review.

作者信息

Hodges Nichole L, Denny Sarah A, Smith Gary A

机构信息

Center for Injury Research and Policy, Nationwide Children's Hospital, Columbus, Ohio (NLH, SAD, GAS).

Section of Emergency Medicine, Nationwide Children's Hospital, Columbus, Ohio (SAD, GAS).

出版信息

Am J Lifestyle Med. 2015 Jul 22;11(3):259-263. doi: 10.1177/1559827615594336. eCollection 2017 May-Jun.

Abstract

Foreign-body ingestions are common among children and usually resolve with limited, if any, treatment. The ingestion of rare-earth magnets, however, commonly results in serious injury or death. These dangerous high-powered magnets can be found in the United States in a variety of consumer products, including magnetic toy sets designed for children and adults. The ingestion of one of such magnet is unlikely to cause significant harm. However, if multiple magnets are ingested, or if a magnet is ingested along with a metal object, the magnets are powerful enough to attract each other through the walls of the intestine, potentially resulting in significant internal damage. Rare-earth magnet ingestion cases are difficult to diagnose and the symptoms are not easy to differentiate from other causes of gastrointestinal illness or pain. However, delays in medical treatment can lead to serious injury or death. This review article describes the epidemiology of rare-earth magnet ingestion-related injuries and provides recommendations for diagnosis and treatment. Federal regulatory efforts related to rare-earth magnets and other prevention strategies are also discussed.

摘要

异物摄入在儿童中很常见,通常只需有限的治疗(如果需要治疗的话)就能解决。然而,吞食稀土磁体通常会导致严重伤害或死亡。在美国,这些危险的强力磁体存在于各种消费品中,包括面向儿童和成人的磁性玩具套装。吞食其中一块磁体不太可能造成重大伤害。然而,如果吞食多块磁体,或者磁体与金属物体一起被吞食,这些磁体的吸力足以透过肠壁相互吸引,从而可能导致严重的内部损伤。稀土磁体吞食病例很难诊断,其症状也不易与胃肠道疾病或疼痛的其他病因相区分。然而,治疗延误可能导致严重伤害或死亡。这篇综述文章描述了与吞食稀土磁体相关损伤的流行病学情况,并提供了诊断和治疗建议。还讨论了与稀土磁体相关的联邦监管措施及其他预防策略。

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