内镜诊治儿童电池类消化道异物临床分析  

Endoscopic diagnosis and treatment of children foreign bodies of battery in digestive tract： analysis of 13 cases

作　　者：程伟伟[1] 刘海峰[1] 胡志红[1] 顾竹珺[1] 王玲[1] 陈蓉[1] 

机构地区：[1]上海交通大学医学院附属儿童医院内镜中心,200062

出　　处：《中国小儿急救医学》2015年第12期840-843,共4页Chinese Pediatric Emergency Medicine

基　　金：上海市市级医院适宜技术项目

摘　　要：目的探讨内镜下诊治儿童电池类？肖化道异物的有效性、安全性。方法回顾性分析2011年7月至2015年4月我院收治的误吞电池类异物的患儿13例，年龄19个月～12岁，误服异物包括扣式电池及圆筒电池共16枚，13例患儿均应用小儿消化内镜及相应内镜器械诊疗。结果9例食道异物，其中嵌顿于食道第一狭窄处5例，第二狭窄处3例，贲门处1例；胃内异物4例，在内镜下成功取出电池16枚，术中及术后无一例出现穿孔、大出血等严重并发症。结论应用消化内镜诊治电池类异物是相对较为安全、有效的诊疗方法。Objective To summarize the effectiveness and security of endoscopic removal of foreign bodies of battery in the gastrointestinal tract in children. Methods We analyzed retrospectively the clinical data of 13 patients who swallowed foreign bodies including button cell and cylindrical battery. The 13 patients were treated in our hospital between July 2011 and April 2015, aged 19 months to 12 years. Results A total of 9 cases of foreign bodies in esophagus,including embedded in the first the esophageal stenosis in 4 cases, the second the esophageal stenosis in 3 cases, cardia in 1 case, and 4 cases of foreign body in stomach. We successfully removed 16 foreign bodies of the battery in endoscopy. No serious complications such as perforation, hemorrhaging happened during and after operation. Conclusion It is one relatively safe and effective method of diagnosis and treatment of endoscopic removal of foreign bodies of battery in gastrointestinal tract in children.

关 键 词：电池 消化道 内镜 儿童 

分 类 号：R726.5[医药卫生—儿科]