Cai Duo-Te, Shu Qiang, Zhang Shu-Hao, Liu Jia, Gao Zhi-Gang
Department of General Surgery, the Children's Hospital of Zhejiang University School of Medicine, Hangzhou 310051, Zhejiang Province, China.
Department of Pediatric Surgery, the Children's Hospital of Zhejiang University School of Medicine, Hangzhou 310058, Zhejiang Province, China.
World J Clin Cases. 2020 Dec 6;8(23):5988-5998. doi: 10.12998/wjcc.v8.i23.5988.
Since 2017, the number of magnet ingestion cases has increased year over year in our hospital. Almost all of the ingested magnetic foreign bodies were magnetic beads, and most of the patients experienced intestinal perforations, causing substantial damage.
To summarize our experience with surgical treatment of multiple magnet ingestion in children.
The data for general surgeries were collected from January 2010 to April 2020, and the clinical characteristics, treatment methods, and outcomes were summarized and analyzed. Several typical cases were selected and discussed.
Fifty-six cases of ingested magnetic foreign bodies were collected, of which 47 were magnetic beads. The average patient age was 4.7 ± 3.0 years old. The number of ingested magnetic foreign bodies ranged from 2 to 73. There were 26 cases with symptoms at the time of admission, including two cases of shock. Thirteen patients were discharged successfully following conservative treatment and 43 were treated by surgery. Laparotomy was the main method of operation. Laparoscopy was used in four cases, of which three were converted to open surgery, and one was treated successfully using surgery through the navel. Postoperative complications occurred in seven cases, incision infections were observed in six, and adhesive ileus was observed in one.
Clinicians need to summarize their experiences with treating magnetic foreign body ingestions in detail and carry out clinical research to reduce the damage to children.
自2017年以来，我院磁体摄入病例数量逐年增加。几乎所有摄入的磁性异物都是磁珠，大多数患者发生肠穿孔，造成严重损害。
总结儿童多次磁体摄入的手术治疗经验。
收集2010年1月至2020年4月普通外科手术的数据，总结并分析其临床特征、治疗方法及结果。选取几例典型病例进行讨论。
共收集到56例摄入磁性异物的病例，其中47例为磁珠。患者平均年龄为4.7±3.0岁。摄入磁性异物的数量为2至73个。入院时有症状的病例有26例，其中2例休克。13例患者经保守治疗成功出院，43例接受手术治疗。剖腹手术是主要的手术方式。4例采用腹腔镜手术，其中3例中转开腹手术，1例经脐部手术成功。术后并发症7例，切口感染6例，粘连性肠梗阻1例。
临床医生需要详细总结治疗磁性异物摄入的经验，并开展临床研究以减少对儿童的损害。
