儿童纽扣式电池食管异物分析  

Button battery foreign body in esophagus in children: An analysis of 12 cases

作　　者：马玉强 刘海霞[1] 马敏[2] 王勤学[1] 

机构地区：[1]山西省儿童医院耳鼻咽喉科,山西太原030013 [2]山西医科大学第二医院耳鼻咽喉头颈外科,山西太原030013

出　　处：《中国耳鼻咽喉头颈外科》2017年第12期641-643,共3页Chinese Archives of Otolaryngology-Head and Neck Surgery

摘　　要：目的总结儿童纽扣式电池食管异物临床表现,探讨其安全、有效的治疗方法。方法回顾性分析我院2014年4月~2016年12月收治的误咽纽扣式电池患儿12例,其中1例异物位于食管第二狭窄,其余11例均位于食管第一狭窄。结果 8例经食道镜取出,1例电子胃镜取出,1例经电子胃镜取出困难,改行食道镜取出,1例采用Foley管取出,1例Foley管取出困难进一步行食道镜取出。9例并发食管周围炎,食管腐蚀伤,2例并发食管穿孔,1例并发食管气管瘘。结论食管异物为小儿常见急诊,其中纽扣式电池对人体的危害极大,纽扣式电池含有重金属及化学化合物,对食管壁具有腐蚀性,造成食管壁的损伤,伴发食管穿孔、狭窄等,损伤程度与异物嵌顿时间成正比,及时采取合理的手术是治愈的关键。OBJECTIVE To sum up the experience of management of button battery foreign body in esophagus in children, and to explore the safety and effective method. METHODS The clinical data of 12 children with button battery foreign body in esophagus in our hospital from April 2014 to December 2016 were retrospectively reviewed. For llcases, foreign bodies were located in first narrow of esophagus, and the other one in the second narrow of esophagus. RESULTS Button battery was removed through esophagoscope in 8 children, through electronic gastroscope in 1 case. Other 1 case was difficult to remove the foreign body through electronic gastroscope, and turn to remove the foreign body through esophagoscope. The battery was removed through Foley tube in 1 case. The last case could not removed through the Foley tube and turn to remove the foreign body through esophagoscope. 9 cases complicated with periesophagitis and esophagus corrosion injury, 2 cases presented esophageal perforation, and 1 case presented tracheoesophageal fistula. CONCLUSION Esophageal foreign body in children is a common emergency event. The button type battery can induce great harm to the human body. It contains heavy metals and chemical compounds. It can corrode the esophageal wall, and even cause severe complications such as esophageal tracheal fistula. The longer time of the foreign body in esophagus, the more severe damage to the esophagus. It is important to remove the foreign body in esophagus by choosing reasonable method in time.

关 键 词：儿童 异物 外科手术 纽扣式电池 

分 类 号：R768.32[医药卫生—耳鼻咽喉科]