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Multiple Magnetic Foreign Bodies Causing Severe Digestive Tract Injuries in a Child

机译:多个磁性异物导致儿童严重的消化道损伤。

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摘要

Foreign body (FB) ingestion is a common emergency as well as a major cause of accidental injury and represents a severe public health problem in childhood, especially in infants. Most cases of FB ingestion reported in children aged between 6 months and 3 years depend primarily on the fact that young children are more likely to explore objects using their mouth and are not able to distinguish edible objects from nonedible ones, their teeth are physiologically lacking, and they have poor swallowing coordination. Although, sometimes it can cause serious complications, FB ingestion generally has a low mortality rate. However, accidental ingestion of magnetic toys, as a rare kind of FB mostly encountered in children, has now become more common due to the increased availability of objects and toys with magnetic elements. The majority of magnetic FB traverse the gastrointestinal (GI) system spontaneously without complication, but in rare cases may cause severe damages to the GI tract due to its special pathogenesis [Kay and Wyllie: Curr Gastroenterol Rep 2005;7: 212-218]. Ingestion of multiple magnets may be related to increased morbidity resulting in a delay of recognition of FB injury that can lead to serious complications and require surgical resolution.
机译:摄入异物(FB)是常见的紧急情况,也是意外伤害的主要原因,并且在儿童尤其是婴儿中代表严重的公共卫生问题。在6个月至3岁之间的儿童中,报告的大多数FB摄入病例主要取决于以下事实:年幼的儿童更容易使用嘴巴探索物体,并且无法将可食用物体与不可食用物体区分开,并且牙齿在生理上缺乏营养,而且吞咽协调性差。尽管有时会引起严重的并发症,但FB摄入通常具有较低的死亡率。然而,由于增加了具有磁性元素的物体和玩具的可获得性,意外摄入磁性玩具是儿童中最常见的一种罕见的FB,现在已经变得越来越普遍。大部分磁性FB自发地通过胃肠道(GI),而不会引起并发症,但在极少数情况下,由于其特殊的发病机理,可能会对胃肠道造成严重损害[Kay and Wyllie:Curr Gastroenterol Rep 2005; 7:212-218]。摄入多个磁铁可能与发病率增加有关,导致对FB损伤的识别延迟,这可能导致严重的并发症并需要手术解决。

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