儿童双侧鼻腔磁性异物1例

Magnetic foreign body in bilateral nasal cavity in children:a case report

1病例报告患儿,男,7岁,2019年8月10日因"鼻腔误塞吸铁石鼻塞2周"于我院急诊就诊。无鼻痛、流涕及鼻腔出血,未予特殊处理。专科检查:患儿神志清晰,呼吸平顺,双侧下鼻甲稍水肿,前鼻镜下见双侧鼻腔银白色异物,紧紧吸附于鼻中隔两侧。因异物吸附较紧且患儿无法配合而难以取出,遂拟"双鼻腔异物"收住入院。病程中,患儿一般情况尚可,无呼吸困难,无头痛头晕,无发热,大小便正常。

In recent years, with the increase of magnetic toys, the intake of magnetic foreign bodies is an increasing problem in pediatric emergency.The strong suction of the magnetic foreign body can lead to necrosis, perforation, and infection of surrounding tissues.The site of magnetic foreign body injury is mainly the esophagus, intestines, stomach, a few in the pharynx, etc.This requires early assessment and appropriate intervention to avoid further harm.Because of its unique physical properties, magnetic foreign bodies in bilateral nasal cavity are rarely reported. Now we have a case of a bilateral magnetic foreign body in the nasal cavity.