Department of Surgery, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, China.
Department of Surgery, Beijing United Family Hospital, Beijing, China.
Turk J Gastroenterol. 2020 Nov;31(11):819-824. doi: 10.5152/tjg.2020.19600.
BACKGROUND/AIMS: This study aimed to analyze the data of 24 cases of multiple perforation or obstruction of the digestive tract caused by accidental ingestion of magnetic beads, to improve the understanding of its harmfulness to children and explore the best treatment.
In total, 24 cases were collected and retrospectively analyzed. These patients were divided into two groups: perforation group and non-perforation group. The medical history, number of magnetic beads, white blood cell (WBC) count, and C-reactive protein (CRP) were analyzed.
There was no significant difference in age, gender, medical history, number of magnetic beads, and WBC count between the perforation group and non-perforation group, but there was a significant difference in CRP. After the diagnosis, 70% of the cases underwent laparotomy and perforation repair. All cases recovered smoothly after the operation, and no complications occurred during the follow-up.
This study offers diagnosis and treatment methods for the perforation or obstruction of the digestive tract caused by accidental ingestion of magnetic beads and raises the awareness regarding the harmfulness of the presence of foreign bodies in the digestive tract.
背景/目的：本研究旨在分析 24 例因意外吞食磁珠导致消化道多处穿孔或梗阻的病例资料，提高对儿童危害性的认识，探讨最佳治疗方法。
共收集 24 例病例进行回顾性分析，将患者分为穿孔组和非穿孔组，分析其病史、磁珠数量、白细胞计数（WBC）和 C 反应蛋白（CRP）。
穿孔组和非穿孔组在年龄、性别、病史、磁珠数量、WBC 计数方面无统计学差异，而 CRP 有统计学差异。诊断后，70%的病例行剖腹探查及穿孔修补术，所有病例术后恢复顺利，随访中无并发症发生。
本研究为磁珠导致消化道穿孔或梗阻的诊断和治疗提供了方法，提高了对外源性异物在消化道中存在的危害性的认识。
