Mant T G, Lewis J L, Mattoo T K, Rigden S P, Volans G N, House I M, Wakefield A J, Cole R S
Hum Toxicol. 1987 Mar;6(2):179-81. doi: 10.1177/096032718700600212.
A case is described of a 2-year-old girl who swallowed an alkaline disc battery containing mercuric oxide. Two days after ingestion it disintegrated in the stomach necessitating laparotomy to remove the battery casing and most of its contents. Postoperatively her blood mercury concentration rose to 340 micrograms/l and subsequently she developed small bowel obstruction due to adhesions. She was treated with dimercaprol but blood mercury concentrations did not fall until after a second laparotomy to relieve the obstruction and to remove residual mercury salts from the colon. The corrosive effects of swallowed disc batteries are well documented. The maximum blood concentration of mercury reported in this case is 17 times the 'acceptable level of mercury in the blood' and nearly double the highest level recorded previously after disc-battery ingestion. A policy for management of swallowed batteries is suggested.
本文描述了一名2岁女童吞食含氧化汞碱性纽扣电池的病例。摄入两天后，电池在胃内分解，需要进行剖腹手术以取出电池外壳及其大部分内容物。术后她的血液汞浓度升至340微克/升，随后因粘连出现小肠梗阻。她接受了二巯丙醇治疗，但直到第二次剖腹手术解除梗阻并从结肠清除残留汞盐后，血液汞浓度才下降。吞食纽扣电池的腐蚀作用已有充分记录。该病例报告的汞最高血浓度是“血液中汞的可接受水平”的17倍，几乎是此前吞食纽扣电池后记录的最高水平的两倍。文中提出了吞食电池的处理策略。
