Medina Gaviria V, Molina Ramírez I, Fierro Ávila F, Valero Halaby J
Servicio de Cirugía Pediátrica. Universidad Nacional de Colombia-Fundación Hospital Pediátrico de la Misericordia (HOMI). Colombia.
Cir Pediatr. 2018 Aug 3;31(3):121-124.
As button batteries have become worldwide used, there have been an increase in its ingest cases, mostly in pediatric population. Also, it is in this group where most complications and death cases are presented according to latest publications. In Colombia there are not public programs that pursuit to prevent the ingestion of this kind of foreign body. We report our experience in the management of these patients in a pediatric hospital.
We performed a retrospective review of cases where patients attend to the emergency room for suspected foreign body ingestion between January 2007 and December 2015. In a total of 46 cases the foreign body was a battery.
85% where under 5 years old. 68% present symptoms. The most frequent location and with the worst complications was the esophagus. All patients that required ICU in the postoperative period where also in that group. There was one case of mortality.
There must be an education plan for health personal and general population regarding the danger that represent button batteries at the reach of children, and the urgency that implies its attention once an ingestion has occurred. It is important to establish protocols in each institution for an appropriate and urgent extraction.
随着纽扣电池在全球范围内的广泛使用,其摄入病例有所增加,主要发生在儿童群体中。此外,根据最新出版物,大多数并发症和死亡病例也出现在这个群体中。在哥伦比亚,没有旨在预防此类异物摄入的公共项目。我们报告了我们在一家儿科医院对这些患者的治疗经验。
我们对2007年1月至2015年12月期间因疑似异物摄入而到急诊室就诊的病例进行了回顾性研究。在总共46例病例中,异物为电池。
85%的患者年龄在5岁以下。68%的患者出现症状。最常见且并发症最严重的部位是食管。所有术后需要入住重症监护病房的患者也都在这个群体中。有1例死亡病例。
必须为医护人员和普通民众制定一项教育计划,告知他们纽扣电池对儿童构成的危险,以及一旦发生摄入情况应立即处理的紧迫性。在每个机构建立适当且紧急取出纽扣电池的方案非常重要。