摄入超吸收聚合物 ("水珠"):一个中毒中心研究的结果
Catherine Dong1, Oyeyimika Oyekanmi1, Zach Deuell1
1Department of Emergency Medicine, Division of Clinical Toxicology, Virginia Commonwealth University Health System, Richmond, VA, USA.
The American journal of emergency medicine
|December 17, 2024
概括
摄入超吸收聚合物 (SAP),通常来自水珠,很少导致儿童的肠道阻塞. 这项研究在分析的病例中没有发现任何障碍或严重的结果,这表明严重并发症的发生率很低.
科学领域:
- 毒理学 毒理学 毒理学
- 儿科胃肠病学 儿科胃肠病学
- 材料科学 材料科学 材料科学
背景情况:
- 超吸收性聚合物 (SAP) 是水友性材料,在水中显著膨胀.
- 幼儿摄入"水珠" (SAP) 引发了对潜在的肠道阻塞的担忧.
- 摄入SAP后肠道阻塞的实际发病率尚不清楚.
研究的目的:
- 为了确定超吸收聚合物摄入后肠道阻塞的发生率.
- 分析摄入SAP的儿科患者的临床结果,干预措施和处置情况.
- 评估幼儿摄入超吸收聚合物的安全性.
主要方法:
- 进行了一项回顾性研究,分析了向区域中毒中心报告的SAP摄入病例.
- 数据收集时间为2002年1月1日至2023年4月25日.
- 主要结局是肠道阻塞的发展,次要结局包括症状,成像,干预和处置.
主要成果:
- 在分析的217个病例中,84%涉及6岁以下的儿童.
- 没有患者出现肠道阻塞,需要住院治疗,也没有接受外体去除手术.
- 大多数患者没有经历临床影响 (54.8%) 或轻微影响 (4.1%);没有报告重大不良事件或死亡.
结论:
- 摄入超吸收聚合物似乎很少出现严重并发症,如肠道阻塞.
- 虽然在文献中存在罕见的阻塞病例,但这项研究在报告的中毒中心病例中没有发现这种结果.
- 临床医生应保持警,并使用临床判断对个体患者的评估,尽管安全性概况普遍有利.
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