儿童摄入超吸收聚合物珠子:对11个病例的单中心回顾性研究
Haiyan Lei1, Jun Yang1, Hongqiang Bian1
1Department of General Surgery, Wuhan Children's Hospital (Wuhan Maternal and Child Healthcare Hospital), Tongji Medical College, Huazhong University of Science & Technology, Wuhan, Hubei, 430016, China.
BMC pediatrics
|January 12, 2026
概括
儿童摄入超吸收聚合物珠 (SAPBs) 可能导致严重的肠道阻塞. 管理往往需要内镜或手术干预,碎片化技术在特定情况下显示出希望.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 毒理学 毒理学 毒理学
- 手术儿科手术小儿科
背景情况:
- 摄入超吸收聚合物珠 (SAPBs) 存在由于胃肠道迅速膨胀而导致儿科肠道阻塞的显著风险.
- 关于食用SAPBs的现有文献是有限的,主要由孤立的病例报告组成.
研究的目的:
- 追溯审查儿科患者摄入SAPBs的病例.
- 总结SAPB摄入的临床特征和管理策略.
- 为了确定与SAPB摄入相关的诊断和治疗挑战.
主要方法:
- 儿童患者 (<18岁) 摄入SAPB的医疗记录的回顾性审查 (2018年9月 - 2025年9月).
- 收集和分析人口统计数据,临床表现,成像发现,治疗和并发症.
- 计算机断层扫描 (CT) 和超声波的诊断实用性的评估.
主要成果:
- 分析了11名儿科患者;中位数年龄为1岁4个月.
- 常见的症状包括吐,发烧和易怒;3名患者 (27%) 患有腹部膨胀.
- 治疗方法各不相同,包括腹腔切除与碎片化,内镜碎片化和阴道;5名患者 (45%) 出现了肠道阻塞等并发症.
结论:
- 摄入SAPB可以导致显著的儿科发病率,需要干预.
- 在腹腔切除术期间手动碎片化可以在特定情况下避免肠切除术.
- CT和超声波对诊断有价值;公共意识和监管对预防至关重要.
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