摘要
目的分析误服纽扣电池儿童的临床特点、内镜表现、治疗方式及预后,为临床诊疗及预后提供指导。方法回顾性分析2017年1月至2022年6月于该院就诊的92例误服纽扣电池患儿的临床资料,包括性别、年龄,纽扣电池滞留时间、嵌顿位置、直径、新旧程度,是否采取保护措施等,对误服纽扣电池并发症的相关危险因素进行分析。结果92例患儿中男69例(75.0%),女23例(25.0%),年龄7个月26 d至8岁,中位年龄2岁7个月,其中1~3岁60例(65.2%)。并发症包括胃黏膜水肿糜烂、食管溃疡、食管穿孔、胃溃疡、食管狭窄等。41例(44.6%)胃镜下黏膜正常,未予治疗;48例(52.1%)经药物治疗、营养支持,预后良好;3例(3.3%)食管狭窄经球囊扩张治疗后,成人直径9.8 mm胃镜可顺利通过。logistic回归分析结果显示,纽扣电池嵌顿位置是纽扣电池引起严重并发症的影响因素(P<0.05)。结论服用牛奶、蜂蜜等保护措施可减轻误服纽扣电池引起的严重并发症。
Objective To analyze the clinical characteristics,endoscopic manifestations,treatment methods and prognosis of children with accidentally ingesting button battery to provide the guidance for clinical diagnosis,treatment and prognosis.Methods The clinical data of 92 children with accidentally ingesting button battery treated in this hospital from January 2017 to June 2022 were retrospectively analyzed,including the gender,age,button battery residence time,incarcerated position,diameter,old and new degree,whether adopting the protective measures,etc.and the related risk factors for accidentally ingesting button battery were analyzed.Results Among 92 children patients,69 cases(75.0%)were male and 23 cases(25.0%)were female,the age was 7 months 26 d to 8 years old,with a median age of 2 years and 7 months old,in which and 60 cases(65.2%)were 1-3 years old.The complications included mucosal edema erosion,esophageal ulcer,esophageal perforation,gastric ulcer,esophageal stenosis and so on.Forty-one cases(44.6%)were normal under the endoscope without treatment.Forty-eight cases(52.1%)had good prognosis after medication therapy and nutritional support.Three cases(3.3%)of esophageal stricture were treated by balloon dilatation,and the adult diameter 9.8 mm gastroscope could pass smoothly.The logistic regression analysis results showed that the button battery incarceration location was the influencing factor for causing serious complications(P<0.05).Conclusion Adopting the protective measures such as taking milk and honey could reduce the serious complications caused by accidental ingestion of button batteries.
作者
王睿孜
薛福敏
于志丹
李小芹
WANG Ruizi;XUE Fumin;YU Zhidan;LI Xiaoqin(Department of Gastroenterology,Affiliated Children’s Hospital,Zhengzhou University/Henan Provincial Children’s Hospital,Zhengzhou,Henan 450018,China)
出处
《重庆医学》
CAS
2023年第14期2127-2131,共5页
Chongqing medicine
基金
国家自然青年科学基金项目(81903330)
河南省2021年科技发展计划项目(212102310037)
2022年度河南省医学科技攻关省部共建重点项目(SBGJ202102212)。
关键词
儿童
纽扣电池
危险因素
并发症
预后
children
button battery
risk factors
complications
prognosis
