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儿童吞食纽扣电池——这是所有放射科医生都必须知晓的潜在灾难性事件。

Button battery ingestion in children-a potentially catastrophic event of which all radiologists must be aware.

作者信息

Semple Thomas, Calder Alistair D, Ramaswamy Madhavan, McHugh Kieran

机构信息

1 Radiology Department, The Royal Brompton Hospital, London, UK.

2 Radiology Department, Great Ormond Street Hospital, London, UK.

出版信息

Br J Radiol. 2018 Jan;91(1081):20160781. doi: 10.1259/bjr.20160781. Epub 2017 Oct 26.

DOI:10.1259/bjr.20160781
PMID:28830198
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5966199/
Abstract

Foreign body ingestion is common in infants and young children and can cause numerous complications, mainly if ingested and left in place for prolonged periods. In recent years, particular dangers, specifically from ingested button batteries, have become increasingly recognized as a public health issue. Of particular note is the rapid onset of full thickness burns and oesophageal perforation which may occur within as little as 2 h following the ingestion of button batteries. The aim of this review is twofold: (1) to increase awareness of the need for rapid action from radiologists, emergency care physicians and paediatricians on identifying a button battery impacted within the oesophagus, and (2) to review the imaging appearances that can distinguish button batteries from other similar appearing foreign bodies, most notably coins.

摘要

异物摄入在婴幼儿中很常见,并且可能导致许多并发症,尤其是当异物被摄入并长时间留在体内时。近年来,特别是摄入纽扣电池所带来的特殊危险,已日益被视为一个公共卫生问题。特别值得注意的是,摄入纽扣电池后短短2小时内就可能迅速发生全层烧伤和食管穿孔。本综述的目的有两个:(1)提高放射科医生、急救医生和儿科医生对识别食管内嵌顿纽扣电池时迅速采取行动的必要性的认识,(2)回顾能够将纽扣电池与其他外观相似的异物(最显著的是硬币)区分开来的影像学表现。

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本文引用的文献

1
Imaging button battery ingestions and insertions in children: a 15-year single-center review.儿童纽扣电池摄入与插入的影像学研究:一项为期15年的单中心回顾
Pediatr Radiol. 2017 Feb;47(2):178-185. doi: 10.1007/s00247-016-3751-3. Epub 2016 Nov 23.
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Foreign Bodies Ingestion in Children: Experience of 61 Cases in a Pediatric Gastroenterology Unit from Romania.儿童异物摄入:罗马尼亚一家儿科胃肠病科61例病例经验
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Diagnosis of button battery ingestion by 'halo' radiographic sign: an exception to the rule.通过“晕轮”放射学征象诊断纽扣电池摄入:该规则的一个例外情况
BMJ Case Rep. 2015 Jul 6;2015:bcr2015209908. doi: 10.1136/bcr-2015-209908.
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Clinical evaluation of disc battery ingestion in children.儿童吞食纽扣电池的临床评估。
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Battery ingestion.
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