Cruz Christopher I, Patel Darshan
Department of Pediatrics, Westchester Medical Center, New York Medical College, Valhalla, New York 10595, USA.
J Emerg Med. 2013 Jul;45(1):30-3. doi: 10.1016/j.jemermed.2012.11.027. Epub 2013 Jan 30.
Foreign body ingestion is a frequent complaint in the Pediatric Emergency Department.
Button-battery ingestion is discussed, with particular attention being given to its management.
Here is an interesting case of a button-battery ingestion by a 1-year-old boy with known asthma who presented to our Emergency Department. He presented in acute respiratory distress with signs of upper airway obstruction. Failing conventional therapy, a chest radiograph was obtained, which led to the diagnosis and subsequent removal.
The management of a button-battery ingestion depends on the patient's age, the presence or absence of symptoms, the size of the object, and location of the object within the gastrointestinal tract. In years past, every esophageal button battery required emergent endoscopic removal. But revised guidelines from the National Battery Ingestion Hotline at the National Capital Poison Center have adjusted this management, which is discussed.
异物摄入是儿科急诊科常见的就诊原因。
讨论纽扣电池摄入情况，尤其关注其处理方法。
本文介绍一名1岁患哮喘的男孩摄入纽扣电池的有趣病例，该患儿到我院急诊科就诊。他因急性呼吸窘迫伴上呼吸道梗阻症状前来。常规治疗无效后，进行了胸部X光检查，据此做出诊断并随后取出异物。
纽扣电池摄入的处理取决于患者年龄、有无症状、异物大小以及在胃肠道内的位置。过去，每例食管纽扣电池摄入都需要紧急内镜取出。但国家首都中毒中心国家电池摄入热线的修订指南对此处理方法进行了调整，本文对此进行了讨论。
