Varga Ágnes, Kovács Tamás, Saxena Amulya K
Department of Pediatric Surgery, Chelsea Children's Hospital, Chelsea and Westminster NHS Foundation Trust, Imperial College London, London, United Kingdom.
Pediatr Emerg Care. 2018 Jun;34(6):443-446. doi: 10.1097/PEC.0000000000001413.
Button battery ingestion (BBI) in children may cause severe complications. This analysis is a literature review of complications after pediatric BBI.
Literature was searched on PubMed (1995-2015) using the terms "button battery," "ingestion," and "children." End points were age, type and diameter of battery, complications, affected organ, and fatality.
A total of 31 publications were analyzed. Patients from 4 months to 19 years old were included (n = 136,191, with n = 102,143 or 75% aged <6 y). In 6262, the diameter of the battery was documented. Batteries of 20 mm or greater in size were more prone to complications (n = 226). With regard to the anatomy, BBI caused complications mainly in the esophagus (n = 88, 38.94%). Sixty-one fatal outcomes were reported.
Children younger than 6 years are the most prone to BBI, with lithium batteries of 20 mm or greater in size associated with complications. Complications have been estimated at 0.165%, with lethality of 0.04%. The esophagus is the most affected organ, but vascular involvement is often fatal.
儿童吞食纽扣电池（BBI）可能会导致严重并发症。本分析是对儿科BBI后并发症的文献综述。
在PubMed（1995 - 2015年）上使用“纽扣电池”“吞食”和“儿童”等术语进行文献检索。终点指标为年龄、电池类型和直径、并发症、受累器官及死亡率。
共分析了31篇出版物。纳入了年龄从4个月至19岁的患者（n = 136,191，其中n = 102,143或75%年龄<6岁）。在6262例中记录了电池直径。尺寸为20毫米或更大的电池更容易引发并发症（n = 226）。就解剖结构而言，BBI主要导致食管并发症（n = 88，38.94%）。报告了61例死亡病例。
6岁以下儿童最容易发生BBI，尺寸为20毫米或更大的锂电池与并发症相关。并发症发生率估计为0.165%，死亡率为0.04%。食管是最常受累的器官，但血管受累往往是致命的。
