纽扣电池所致儿童食管损伤的临床特征及治疗

发布时间：2018-04-17 20:02

本文选题：儿童 + 食管异物　；参考：《中国内镜杂志》2017年06期

【摘要】：目的探讨纽扣电池所致儿童食管损伤的临床特征及治疗方法,旨在提高儿童纽扣电池食管异物的诊断和治疗水平。方法回顾性分析15例纽扣电池食管异物患儿的临床特征、治疗方法及预后。结果硬质食管镜取出纽扣电池12例,电子胃镜下取出纽扣电池3例。12例患儿发生比较严重的食管损伤,10例患儿通过鼻饲、抗炎及支持治疗得到完全恢复。2例术后发生食管穿孔,其中1例并发食管气管瘘。结论纽扣电池嵌顿在食管容易造成严重食管损伤,处理关键是尽快确诊。一旦确诊纽扣电池嵌顿在食管,必须将其取出。纽扣电池在X线片上有比较明显的特征,胸片可作为误吞纽扣电池诊断首选检查。如能根据病情选择合适的手术方式及恰当的术后处理,多数预后良好,但要警惕食管穿孔及食管气管瘘等严重并发症出现。
[Abstract]:Objective to investigate the clinical features and treatment of esophageal injury caused by button battery in children, in order to improve the diagnosis and treatment of esophageal foreign body.Methods the clinical features, treatment and prognosis of 15 cases of button-battery esophageal foreign body were retrospectively analyzed.Results 12 cases of button cells were removed by rigid esophagoscope, 3 cases of button batteries were removed by electronic gastroscopy. 10 cases of esophageal injury occurred in 10 cases. 2 cases of esophageal perforation were completely recovered after nasal feeding, anti-inflammatory and supportive therapy.One case was complicated with esophagotracheal fistula.Conclusion Button battery incarceration is easy to cause severe esophageal injury in esophagus, and the key to treatment is to make a diagnosis as soon as possible.Once the button battery is diagnosed as incarcerated in the esophagus, it must be removed.Button battery has obvious characteristics on X-ray film, chest film can be used as the first choice for the diagnosis of button battery.If we can choose the appropriate operation method and appropriate postoperative treatment according to the condition, most of the patients have good prognosis, but we should be on guard against serious complications such as esophageal perforation and esophagotracheal fistula.
【作者单位】：温州医科大学附属第二医院(育英儿童医院)儿童消化科;
【分类号】：R768.32

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