中国实用儿科杂志

中国实用儿科杂志 ›› 2021, Vol. 36 ›› Issue (12): 924-926.DOI: 10.19538/j.ek2021120609

• 专题笔谈 • 上一篇    下一篇

儿童消化道磁珠类异物处理原则

  

  1. 浙江大学医学院附属儿童医院，浙江  杭州  310057
  • 出版日期:2021-12-06 发布日期:2022-02-17

Management principles of foreign bodies in digestive tract: Magnetic foreign body ingestion

  1. Department of Gastroenterology，Children’s Hospital of Zhejiang University School of Mendicine，Hangzhou  310057，China
  • Online:2021-12-06 Published:2022-02-17

摘要： 异物摄入是儿科急诊的常见原因，在过去20年里，磁铁摄入的发生率在不断增加。虽然在儿童吞食的所有异物中，磁铁不常见，但是磁性异物尤其是钕铁硼（NdFeB）磁珠能够通过肠壁相互吸引，导致肠坏死、肠梗阻、穿孔、腹膜炎和死亡。该文介绍了磁铁摄入损伤的背景和机制，以及推荐的治疗方法和潜在的并发症。

关键词: 儿童, 磁珠, 消化道异物, 外科手术

Abstract:

Foreign body ingestion is a common cause of pediatric emergency. In the past 20 years，the incidence of magnet foreign body ingestion has been increasing. Although magnets are not common among all foreign bodies swallowed by children，magnetic foreign bodies，especially neodymium iron boron（NdFeB） magnetic beads can attract each other through the intestinal ring，causing intestinal necrosis，intestinal obstruction，perforation，peritonitis and death. This article presents the background and mechanism of magnet ingestion injury，as well as the recommended treatment methods and potential complications.

Key words: child, magnetic bead, digestive foreign bodies, surgery