Eliason Michael J, Ricca Robert L, Gallagher Thomas Q
aNaval Medical Center Portsmouth, Department of Otolaryngology bNaval Medical Center Portsmouth, Department of Pediatric Surgery, Portsmouth, Virginia, USA.
Curr Opin Otolaryngol Head Neck Surg. 2017 Dec;25(6):520-526. doi: 10.1097/MOO.0000000000000410.
As the demand for small electronics continues to grow so does the risk of oesophageal ingestion of button batteries. These small but powerful sources of energy are ubiquitous in every household and when swallowed, especially in small children, have been shown to create significant injury in a short amount of time leading to long-term morbidity and possible death. This review highlights the latest findings regarding epidemiology, pathophysiology, diagnosis and management of ingested button batteries.
Updated epidemiology from the National Capital Poison Center, new bench research looking at injury patterns and possible mitigation strategies, updated ideas on management algorithms including the use of a trauma protocol, close-look second endoscopy and management of button batteries in the lower gastrointestinal tract are reviewed in this paper.
Despite advances in the understanding of injury mechanics and innovations leading to early diagnosis and improved management of button battery ingestion, parental and provider education remain the most important tools to keep children well tolerated from the sequelae of these potentially fatal events. Collaboration between healthcare experts, public health and industry is essential to find a safe answer to this ongoing threat.
随着小型电子产品需求持续增长，纽扣电池经食管摄入的风险也在增加。这些小巧却能量强大的能源在每个家庭中都很常见，一旦被吞下，尤其是在幼儿中，已被证明会在短时间内造成严重损伤，导致长期发病甚至可能死亡。本综述重点介绍了关于摄入纽扣电池的流行病学、病理生理学、诊断和管理的最新研究结果。
本文回顾了来自国家首都中毒控制中心的最新流行病学数据、关于损伤模式和可能缓解策略的新基础研究、关于管理算法的更新观点，包括使用创伤治疗方案、仔细的二次内镜检查以及下消化道纽扣电池的管理。
尽管在理解损伤机制以及在纽扣电池摄入的早期诊断和改善管理方面取得了进展，但家长和医护人员教育仍然是使儿童免受这些潜在致命事件后遗症影响的最重要工具。医疗专家、公共卫生部门和行业之间的合作对于找到应对这一持续威胁的安全解决方案至关重要。
