[1]徐庶钦,盖敬慈,张至轩,等.儿童误吞纽扣电池致消化道损伤的文献分析[J].临床小儿外科杂志,2022,21(06):591-597.[doi:10.3760/cma.j.cn101785-202103037-018]
　Xu Shuqin,Gai Jingci,Zhang Zhixuan,et al.Literature analysis of digestive tract injury caused by button batteries swallowed by mistake in children[J].Journal of Clinical Pediatric Surgery,2022,21(06):591-597.[doi:10.3760/cma.j.cn101785-202103037-018]
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儿童误吞纽扣电池致消化道损伤的文献分析

《临床小儿外科杂志》[ISSN:1671-6353/CN:43-1380/R] 卷: 第21卷 期数: 2022年06期 页码: 591-597 栏目: 临床研究与实践 出版日期: 2022-06-28
Title:
Literature analysis of digestive tract injury caused by button batteries swallowed by mistake in children
作者:
徐庶钦1; 2; 3;  盖敬慈2; 4;  张至轩2; 4;  雷凤萍2; 3;  王颜2; 3;  强茵2; 3;  吕毅1; 2;  严小鹏1; 2
1 西安交通大学第一附属医院肝胆外科, 西安 710061;
2 西安交通大学精准外科与再生医学国家地方联合工程研究中心, 西安 710061;
3 西安交通大学宗濂书院, 西安 710061;
4 西安交通大学启德书院, 西安 710061
Author(s):
Xu Shuqin1; 2; 3;  Gai Jingci2; 4;  Zhang Zhixuan2; 4;  Lei Fengping2; 3;  Wang Yan2; 3;  Qiang Yin2; 3;  Lyu Yi1; 2;  Yan Xiaopeng1; 2
1 Department of Hepatobiliary Surgery, First Affiliated Hospital, Xi’an Jiaotong University, Xi’an 710061;
2 National and Local Joint Engineering Research Center for Precision Surgery & Regenerative Medicine, Xi’an Jiaotong University, Xi’an 710061;
3 Zong Lian Academy, Xi’an Jiaotong University, Xi’an 710061;
4 Qi De Academy, Xi’an Jiaotong University, Xi’an 710061
关键词:
纽扣电池; 消化道异物; 胃肠道/损伤; 治疗; 儿童
Keywords:
Button Battery; Foreign Bodies; Gastrointestinal Tract/IN; Therapy; Child
DOI:
10.3760/cma.j.cn101785-202103037-018
摘要:
目的 对儿童误吞纽扣电池致消化道损伤的相关文献进行系统分析。方法 检索万方、维普、中国知网等数据库，收集并整理国内2009年5月至2019年12月发表的所有涉及吞食纽扣电池类异物的中文文献。分析患儿的年龄、性别、地区、临床表现、并发症及诊治方法等。结果 对所有文献进行详细阅读后，排除重复报道的2篇和临床数据不全的6篇，最终共48篇文献纳入系统分析，共涉及19个省份的508例误吞纽扣电池异物儿童病例，其中有明确性别信息的病例共222例，男142例，女80例，男女比例1.78：1。有具体年龄信息的病例共82例，年龄（26±17）个月。纽扣电池嵌顿位置最多为食管，占比47.44%。导致消化道穿孔73例（含气管食管瘘）、不同程度食管狭窄20例、死亡5例。结论 对于儿童消化道纽扣电池异物，应选择以X线为主的影像学检查。根据纽扣电池滞留部位的不同选择治疗方法，主要有内镜下取出术、自然排出或手术探查。
Abstract:
Objective To explore the diagnosis and treatment of gastrointestinal injury caused by button battery ingestion in children through a literature analyis.Methods Through searching the databases of WanFang, VIP and CNKI, all Chinese reports of ingestion of button batteries as foreign bodies published from May 2009 to December 2019 were collected.The research contents included age, gender, region, clinical manifestations, complications, diagnoses and treatments.Results After a detailed review of all retrievals, 2 articles with repeated reports and 6 articles with unclear data were excluded.Finally 48 articles were included for systematic analysis and 508 cases of accidental button batteries ingested in 19 provinces collected.There were 142 boys and 80 girls.A total of 82 cases were identified with specific age information.The mean age was (26±17) months.The most common location of button battery incarceration was esophagus (47.44%).Serious complications included perforation of digestive tract (including tracheoesophageal fistula, n=73), esophageal stenosis of varying degrees (n=20) and death (n=5).Conclusion For button batteries as foreign bodies in digestive tract, radiographic imaging examination is preferred.According to different parts of button battery retention, endoscopic removal, natural excretion or surgical exploration is selected.

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备注/Memo

收稿日期:2021-03-21。
基金项目:国家自然科学基金项目（81700545）；陕西省创新能力支撑计划（2020KJXX—022）；中央高校基本科研业务费专项资金（xjj2018jchz14）；西安交通大学大学生创新训练项目（GJ202010698102）
通讯作者:严小鹏,Email:yanxiaopeng99@163.com

更新日期/Last Update: 1900-01-01