Suita S, Ohgami H, Yakabe S, Nagasaki A
Department of Paediatric Surgery, Faculty of Medicine, Kyushu University, Fukuoka, Japan.
Z Kinderchir. 1990 Aug;45(4):212-4. doi: 10.1055/s-2008-1042583.
The method of treatment and fate of 41 button batteries ingested by 34 children were analysed; 31 batteries were in the stomach and 10 beyond the pylorus. In 31 batteries situated in the stomach, removal by magnet tube technique was attempted in 30 batteries, 25 being successfully taken out, while 5 failed passing through the pylorus at the duodenum. One was removed endoscopically, since a magnet tube was not available. The remaining 10 batteries in 10 children were found at different levels from the duodenum to the rectum. In addition, 5 batteries were pushed down from the stomach during magnet tube removal. These 15 batteries, located in the intestine were excreted during 35 hours. In contrast to other asymptomatic foreign bodies that are allowed to pass through the GI tract spontaneously, we feel that button batteries should be removed by magnet tube technique to avoid complications such as GI tract perforation with associated bleeding, possible mercury poisoning and burns. Magnet tube removal is a simple and safety method requiring neither anaesthesia nor admission.
分析了34名儿童摄入的41枚纽扣电池的治疗方法和转归；31枚电池位于胃内，10枚在幽门以外。在位于胃内的31枚电池中，30枚尝试用磁管技术取出，25枚成功取出，5枚在十二指肠处未能通过幽门。有1枚因没有磁管而通过内镜取出。在10名儿童中发现的其余10枚电池位于从十二指肠到直肠的不同部位。此外，在通过磁管取出过程中有5枚电池从胃内被推下。这15枚位于肠道的电池在35小时内排出。与其他可让其自行通过胃肠道的无症状异物不同，我们认为纽扣电池应通过磁管技术取出，以避免诸如胃肠道穿孔伴出血、可能的汞中毒和灼伤等并发症。磁管取出是一种简单且安全的方法，既不需要麻醉也无需住院。
