保守治疗小儿误食81颗磁力珠1例

Conservative Treatment of 81 Magnetic Beads in Children: A Case Report

摘要: 儿童消化道异物是一种常见急诊疾病，其中磁力珠较为特殊，由于多枚磁珠之间的磁力吸引致使其之间软组织受压缺血，最终出现坏死穿孔等严重急腹症。本文报道1例3岁男孩因阵发性腹痛半天就诊。入院时脐周阵发性腹痛，行X线检查结合家属描述考虑磁力珠可能性大，暂无腹胀、腹腔积气及腹膜炎体征，遂行保守观察对症治疗。15天后患儿排出直径约为0.5 cm的磁珠共81枚。由此，在病情稳定及无并发症发生的情况下可进行保守观察。

Abstract: Children’s digestive tract foreign body is a common emergency disease, in which the magnetic beads are special. Due to the magnetic attraction between multiple magnetic beads, the soft tissue is compressed and ischemic, resulting in severe acute abdomen, such as necrosis and perforation. A 3-year-old boy with paroxysmal abdominal pain for half a day was reported. Periumbilical parox-ysmal abdominal pain on admission, X-ray examination combined with family description to con-sider the possibility of magnetic beads, no abdominal distension, abdominal gas and peritonitis signs, conservative observation and symptomatic treatment were carried out. After 15 days, 81 magnetic beads with a diameter of about 0.5 cm were discharged. Therefore, conservative observa-tion can be carried out when the condition is stable and there are no complications.