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降低吞食纽扣电池的风险:取出前后的新策略

Mitigating Risks of Swallowed Button Batteries: New Strategies Before and After Removal.

作者信息

Lerner Diana G, Brumbaugh David, Lightdale Jenifer R, Jatana Kris R, Jacobs Ian N, Mamula Petar

机构信息

Division of Pediatric Gastroenterology, Hepatology and Nutrition, Children's Hospital of Wisconsin, Medical College of Wisconsin, Milwaukee, WI.

Division of Pediatric Gastroenterology, Hepatology and Nutrition, University of Colorado School of Medicine, Digestive Health Institute, Children's Hospital Colorado, Denver, CO.

出版信息

J Pediatr Gastroenterol Nutr. 2020 May;70(5):542-546. doi: 10.1097/MPG.0000000000002649.

DOI:10.1097/MPG.0000000000002649
PMID:32022776
Abstract

Despite ongoing efforts of the national Button Battery Task Force (BBTF), cases of major morbidity and mortality continue to be reported at a higher rate after ingestion of higher voltage and larger button batteries. Initiation of sucralfate or honey shortly after some button battery ingestions is crucial to prevent further injury while awaiting emergent removal. Endoscopic acetic acid irrigation post removal of button battery may halt deeper injury. Gastroenterologists need to be aware of the updates to the National Capital Poison Center algorithm for button battery ingestion.

摘要

尽管国家纽扣电池特别工作组(BBTF)一直在努力,但在摄入较高电压和较大尺寸的纽扣电池后,严重发病和死亡病例的报告率仍持续较高。在一些纽扣电池摄入后不久开始使用硫糖铝或蜂蜜对于在等待紧急取出期间防止进一步损伤至关重要。纽扣电池取出后进行内镜醋酸冲洗可能会阻止更深层的损伤。胃肠病学家需要了解国家首都中毒中心关于纽扣电池摄入的算法更新。

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