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題 名 | Button Battery Ingestion: An Analysis of 25 Cases=吞食鈕扣電池--25病例分析 |
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作 者 | 詹逸凌; 張詩鑫; 高固廉; 廖浩欽; 廖訓禎; 邱德發; 吳明玲; 鄧昭芳; | 書刊名 | 長庚醫學 |
卷 期 | 25:3 2002.03[民91.03] |
頁 次 | 頁169-174 |
分類號 | 416.898 |
關鍵詞 | 鈕扣電池; 異物; Button battery; Foreign body; |
語 文 | 英文(English) |
中文摘要 | 背景: 吞食鈕扣電池可能導致嚴重的併發症,特別是當鈕扣電池卡在食道時。然而此一情形常為國人所忽略,因此我們收集吞食鈕扣電池的病例以分析此類病患的特性與結果。 方法: 對臺北榮民總醫院毒藥物諮詢中心從1988年7月至1999年1月的十年半期間所接獲的二十五例吞食鈕扣電池報告進行回溯性地分析。 結果: 病患主要為男性(80%)與小於3歲的孩童(76%);大多數的病患(88%)並無症狀,僅2例表現腹痛,1例有呼吸困難併有哮鳴音;三例病患者有解黑便的情形,1例有併發氣管食道?管;兩名孩童以內視鏡移除電池;在16位經由腸胃道排出電池的病患,其從吞食到排出的時間均在5天之內。 結論: 吞食鈕扣電池的病患大多數不會產生症狀及併發症,但遇此類病患仍應進行放射線檢查以確知鈕扣電池位置。當鈕扣電池卡在食道時,應緊急以內視鏡或手術移除,而鈕扣電池未卡在食道的病患若無症狀顯示消化道傷害時,則可觀察並靜待其從糞便排出。 |
英文摘要 | Background: Button batteries represent a distinct type of foreign body. Serious complications can be resulted, particularly when the battery is impacted in the esophagus. The potentially detrimental effects of button battery ingestion have often been overlooked in Taiwan. We surveyed patients following button battery ingestion to define the characteristics and outcomes of this population. Methods: The records of 25 patients with button battery ingestion that had been reported to the Taipei Veterans General hospital poison control center from July 1988 through January 1998 were retrospectively reviewed. Results: Button battery ingestion occurred most commonly in male children (N=20;80%) and children under 3 years of age (N=19;76%). Most children were asymptomatic (N=22;88%). Two children suffered abdominal pain, and one suffered dyspnea and stridor. Reported complications included black stools (N=3) and tracheoesophageal fistula formation (N=1). Tow children underwent endoscopic battery removal, and batteries passed the entire gastrointestinal tract in all other subjects. The interval between battery ingestion and passage when documented (N=16) was never more than 5 days. Conclusion: Most ingested batteries passed through the gastrointestinal tract without any adverse effects. An initial roentgenogram should be obtained promptly to determine battery location and diameter, and the battery’s chemical composition should be determined when possible. Esophageal impaction of the batteries requires emergency endoscopic or surgical removal. For patients without esophageal impaction, conservative intervention is recommended in the absence of symptoms and signs of injury. |
本系統中英文摘要資訊取自各篇刊載內容。