Department of General Surgery, Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, 310051, Zhejiang Province, China.
The Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, 310051, Zhejiang Province, China.
BMC Pediatr. 2022 Jul 26;22(1):448. doi: 10.1186/s12887-022-03501-0.
Multiple magnetic foreign body ingestion in children is increasingly common and can cause serious injury. The present study aimed to analyze the clinical features of such cases and summarize treatment experiences.
A retrospective survey of 91 patients in the Children's Hospital, Zhejiang University School of Medicine with magnetic foreign body ingestion from October 2018 to October 2021 was performed, the data were collected including the clinical information of the patients, treatment details, and prognosis.
Twenty-two (24.2%) patients were conservatively treated, with the foreign bodies discharged through the anus, 31 (34.1%) underwent laparoscopic surgery, including 18 cases converting from laparoscopic surgery to laparotomy, and 38 (41.8%) underwent laparotomy. In 13 (14.3%) patients, the foreign bodies were partially removed by gastroscope. The remaining foreign bodies were removed by laparoscopy in six patients, including three cases converting from laparoscopy to laparotomy, by laparotomy in four patients, and by conservative treatment in three patients.
Multiple magnetic foreign body ingestion can cause significant harm to patients and different clinical techniques must be used for patients in different situations to reduce the harm to children.
儿童吞食多个磁性异物的情况越来越常见，可能会造成严重损伤。本研究旨在分析此类病例的临床特征并总结治疗经验。
对浙江大学医学院附属儿童医院 2018 年 10 月至 2021 年 10 月收治的 91 例磁性异物吞食患儿进行回顾性调查，收集患儿的临床信息、治疗细节和预后等数据。
22 例（24.2%）患儿经保守治疗后异物从肛门排出，31 例行腹腔镜手术，其中 18 例由腹腔镜手术转为开腹手术，38 例行开腹手术。13 例（14.3%）患儿经胃镜部分取出异物，6 例患儿通过腹腔镜取出其余异物，其中 3 例由腹腔镜转为开腹，4 例患儿经开腹取出异物，3 例患儿经保守治疗取出异物。
多个磁性异物吞食可能会对患儿造成严重伤害，不同情况下需采用不同的临床技术，以减少对儿童的伤害。
