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圆柱形电池摄入与医学治疗

Ingestion of Cylindrical Battery and Medical Treatment.

作者信息

Kosar Mehmet Nuri, Gorgulu Ozkan

机构信息

Mehmet Nuri Kosar Department of General Surgery, University of Health Sciences, Antalya Training and Research Hospital, Antalya, Turkey.

Ozkan Gorgulu Department of Anesthesiology and Reanimation, University of Health Sciences, Antalya Training and Research Hospital, Antalya, Turkey.

出版信息

Pak J Med Sci. 2021 Mar-Apr;37(2):595-597. doi: 10.12669/pjms.37.2.3225.

Abstract

Due to their chemical properties, accidental or suicidal ingestion of batteries into the digestive system can cause fatal complications; Treatment should not be delayed and close monitoring is required. A 26-year-old male patient is treated by the psychiatry department with diagnoses of antisocial personality disorder and depressive adjustment disorder. He consulted with the complaint of ingesting cylindrical AA battery for suicidal purpose. In our case, the cylindrical AA battery in the duodenum was removed from the rectum at the end of the third day without any complications. However, the continuous movement of the cylindrical AA battery with lactulose treatment in the gastrointestinal tract and the support of this movement with abdominal radiographs can reduce the risk of fatal complications. When planning the battery treatment in the gastrointestinal tract, the location of the battery and whether it is mobile should be determined. While obstruction of oesophagus by batteries requires emergency surgical treatment, batteries that remained fixed in the stomach for longer than 48 hours need to be treated with surgical or endoscopic methods.

摘要

由于其化学性质,意外或自杀性吞食电池进入消化系统会导致致命并发症;治疗不应延迟,需要密切监测。一名26岁男性患者因反社会人格障碍和抑郁性适应障碍由精神科进行治疗。他因自杀目的吞食圆柱形AA电池前来咨询。在我们的病例中,十二指肠内的圆柱形AA电池在第三天末从直肠排出,没有任何并发症。然而,圆柱形AA电池在胃肠道中通过乳果糖治疗的持续移动以及腹部X光片对这种移动的支持可以降低致命并发症的风险。在规划胃肠道内电池治疗时,应确定电池的位置以及它是否可移动。虽然电池阻塞食管需要紧急手术治疗,但在胃内固定超过48小时的电池需要通过手术或内镜方法进行治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a205/7931289/a0c02715b300/PJMS-37-595-g001.jpg

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