Mary Jean Ohns, Pediatric Nurse Practitioner, Emergency Department, Russel J. Ebeid Children's Hospital, and Tenured Assistant Professor, College of Nursing, University of Toledo, Toledo, OH.
J Pediatr Health Care. 2022 Sep-Oct;36(5):465-469. doi: 10.1016/j.pedhc.2022.06.003. Epub 2022 Jul 14.
This case report describes a 17-month-old child with ingestion of a button battery. The clinical presentation, diagnostic reasoning, national guidelines, hospital course, and follow-up are discussed. Between 1995 and 2015, an estimated 759,074 children aged < 6 years were seen in emergency departments for suspected or confirmed foreign body ingestions, representing a 93.3% increase in cases . The most common objects ingested were coins, toys, jewelry, and batteries. The most common battery ingested was a button battery. Although 80% to 90% of ingested foreign objects pass without intervention, a button battery positioned in the esophagus is an emergency requiring immediate removal.
本病例报告描述了一例 17 个月大的儿童吞食纽扣电池的情况。讨论了临床表现、诊断推理、国家指南、住院过程和随访。在 1995 年至 2015 年间，估计有 759,074 名年龄<6 岁的儿童因疑似或确诊的异物吞食而在急诊就诊，病例数增加了 93.3%。最常见的异物包括硬币、玩具、珠宝和电池。最常见的电池是纽扣电池。尽管 80%至 90%的吞食异物无需干预即可自行排出，但位于食管的纽扣电池是一种需要立即取出的紧急情况。
