消化道强磁性异物致幼儿胃肠多发穿孔1例报道

A case report of an infant with multiple gastrointestinal perforations caused by strong magnetic foreign bodies in the digestive tract

婴幼儿消化道非单一强磁性异物多因患儿误食所致,早期症状不典型,若一旦发生“三明治”样磁性物质黏合可导致黏合部位穿孔、出血、感染等严重并发症,甚至危及生命。早期发现并早期经内镜取出治疗有较大优势,可避免严重并发症发生,在取出过程中若发现异物导致消化道出血、穿孔等应尽早行外科手术探查。同时,应加强患儿家长及医务人员对非单一强磁性消化道异物危害性的高度重视,避免延误治疗时机导致严重后果。

Non-single strong magnetic foreign bodies in the digestive tract of infants are mostly caused by children′s accidental ingestion,and the early symptoms are not typical.Once the bonding of"sandwich"-like magnetic substance occurs,serious complications such as perforation,bleeding and infection can occur in the bonding site,even life-threatening.Early detection and endoscopic removal have great advantages,which can avoid serious complications.Surgical exploration should be carried out as soon as possible if gastrointestinal bleeding or perforation caused by foreign bodies are found in the process of removal.At the same time,parents and medical staff should pay more attention to the harm of non-single strong magnetic foreign body in digestive tract,so as to avoid the serious consequences caused by the delay of treatment.