Ge Wu,Lian Peng,Li Yong,et al.Clinical characteristics and therapeutic experience of magnetic foreign body ingestion in children[J].Journal of Clinical Pediatric Surgery,,20():1174-1178.[doi:10.12260/lcxewkzz.2021.12.014]
Clinical characteristics and therapeutic experience of magnetic foreign body ingestion in children
- Keywords:
- Magnetic Foreign Body; Buckeyball; Gastrointestinal Tract/IN; Child
- CLC:
- R649.4;R472.91
- Abstract:
- Objective To explore the clinical features and treatment options of children with magnetic bead foreign body in digestive tract.Methods From September 2018 to May 2020, 13 children with magnetic bead foreign body in digestive tract in Shengjing Hospital of China Medical University were recruited.General profiles, clinical symptoms, results of auxiliary examinations and surgical procedures of these patients were retrospectively analyzed to discuss the optimal treatment plan combined with literature researches.Results Among all cases, the average time from ingestion to treatment was 4.9 days.The most common symptoms were abdominal pain (7/13, 53.8%), nausea and vomiting (6/13, 46.2%), fever (2/13, 15.4%), cough (1/13, 7.7%), bloody stool (1/13, 7.7%), and 2 children (2/13, 15.4%) had no obvious clinical symptoms.Abdominal X-ray examinations showed that foreign bodies were located in the upper digestive tract in 2 cases (2/13, 15.4%), in the lower digestive tract in other 11 cases (11/13, 84.6%).10 of 13 cases were treated by operation, bowel perforation were found in 8 (8/10, 80%) cases, 4 cases (4/10, 40%) were accompanied with intestinal necrosis, fistula formation and obstruction were found in 2 (2/10, 20%) cases, and volvulus were found in 3 (3/10, 30%) cases.One case was treated by gastroscope, and 2 cases were treated conservatively with magnets and the foreign bodies passed naturally without extra intervention.Conclusion Ingestion of multiple magnetic beads would lead to severe digestive tract injury, which requires early diagnosis and appropriate treatments.
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Memo
收稿日期:2020-06-24。
基金项目:国家自然科学基金（编号：82070531）；2020年度辽宁省科技重大专项项目M0806-21（编号：345M0359）
通讯作者:贾慧敏,Email:jiahuiminmm@163.com;李勇,Email:18940259635@163.com