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对头面部、四肢等体内铁质异物,往往先 X 线检查定位或直接在 X 线下将异物取出,这样手术费时,损伤组织较多,术后反应严重,有时手术难以成功。几年来,我们利用眼用电磁铁对15例体内铁质异物均一次手术成功,而且方便省时,现介绍如下。临床资料及手术法15例中男11例,女4例,年龄10~56岁,异物中铁屑块12例,缝衣针3例。受伤到就诊对间在1天以内7例,2~7天3例,7天以上5例,其中3例长达1年以上,受伤均为铁锤击打铁屑射入及缝衣针误刺而入,其中头面部5例,颈部3例,四肢躯干7例。
Opposite face, limbs and other body iron foreign body, often first X-ray examination or directly under the X-ray removal of foreign body, so time-consuming surgery, more tissue damage, severe postoperative reaction, and sometimes surgery is difficult to succeed. Over the past few years, we use the ophthalmic electromagnet on 15 cases of intra-body iron foreign body an operation were successful, but also convenient and time-saving, are introduced below. Clinical data and surgical method in 15 cases, 11 males and 4 females, aged 10 to 56 years old, foreign body in 12 cases of iron pieces, needle in 3 cases. Among the injured patients, 7 cases were treated within 1 day, 3 cases were from 2 to 7 days, 5 cases were over 7 days, of which 3 cases were up to more than 1 year. The injuries were all caused by the iron hammer attacking the iron filings and the needles And into, of which head and face in 5 cases, 3 cases of neck, trunk and trunk in 7 cases.