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磁铁和孩子:一个危险的组合
X De Raeymaeker1, S Van Cauwenbergh1, B Houben1
1Department of Abdominal Surgery, Jessa Hospital, Hasselt, Belgium.
Acta chirurgica Belgica
|June 1, 2023
概括
摄入多个磁铁可以在儿童中引起严重的肠道损伤,导致穿孔. 迅速的手术干预为受影响儿童提供了良好的预后和快速康复.
科学领域:
- 儿科手术 儿科手术
- 胃肠病学 胃肠病学
- 毒理学 毒理学 毒理学
背景情况:
- 意外的外体摄入在儿童中很常见,但由于磁铁的粘合性,磁铁的摄入带来了独特的风险.
- 摄入磁铁可以导致严重的胃肠道并发症,包括阻塞,压力缩,,和穿孔.
研究的目的:
- 报告儿童因摄入多个玩具磁铁而导致肠道穿孔的情况.
- 提高医疗保健提供者对儿科磁铁摄入危害的认识.
- 对此类案件审查现有的文献和管理指南.
主要方法:
- 一个案例报告,一个两岁的男孩从玩具中摄入了多个磁球.
- 涉及探索性腹腔镜转换为迷你腹腔镜的手术干预.
- 审查PubMed相关出版物和管理策略的数据库.
主要成果:
- 患者出现了由四个摄入的磁铁引起的肠道穿孔.
- 磁铁的外科切除是通过单独的肠切除术进行的.
- 孩子经历了无事件的恢复,并在术后第五天出院,在三个月没有并发症.
结论:
- 儿童摄入多个磁铁是一种罕见的,但可能危及生命的紧急情况.
- 管理策略有所不同:胃磁铁的内镜检索,无症状病例的警监测,症状患者的紧急外科切除.
- 及时的手术治疗确保了儿童磁铁摄入病例的良好结果和快速恢复.
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