MEDICAL INSTITUTE OF SUMY STATE UNIVERSITY, SUMY, UKRAINE.
Wiad Lek. 2023;76(8):1861-1865. doi: 10.36740/WLek202308121.
Ingestion of button batteries by children is increasing every year, which is becoming a clinical problem for pediatricians. The number of complications and mortality when using batteries exceeds similar indicators when accidentally swallowing other foreign bodies. This is due to the electrochemical and mechanical effect of the battery on the mucous membrane of the gastrointestinal tract and especially the esophagus. With a late diagnosis, an ordinary battery leads to the development of fatal complications. In modern literature, there are no protocols that would relate to the treatment of similar situations, in particular, in the development of a tracheoesophageal fistula. The article describes a case of successful treatment of a tracheoesophageal fistula due to a long-term stay of a battery in the esophagus. This condition was also complicated by the development of bilateral tension pneumothorax. The dilemma in such cases is always difficult: to choose operative or conservative treatment. Both methods have their advantages and disadvantages. In this clinical case, preference was given to conservative treatment, which ended quite successfully. But the main goal is to prevent such situations. This can be achieved by raising parents' awareness of the risks of battery ingestion. Also, the efforts of a doctor who is faced with a similar situation should be directed to the fastest possible diagnosis and removal of such a foreign body as a battery.
儿童吞食纽扣电池的情况每年都在增加，这对儿科医生来说已成为一个临床问题。使用电池引起的并发症和死亡率超过了意外吞下其他异物时的类似指标。这是由于电池对胃肠道黏膜，尤其是食管的电化学和机械作用所致。如果诊断较晚，普通电池会导致致命并发症的发展。在现代文献中，尚无与治疗类似情况（特别是在发展为气管食管瘘时）相关的方案。本文描述了一例因电池在食管中长期停留而成功治疗气管食管瘘的病例。这种情况还伴有双侧张力性气胸的发展。在这种情况下，总是存在两难的困境：选择手术还是保守治疗。这两种方法各有优缺点。在这种临床情况下，更倾向于选择保守治疗，该治疗最终非常成功。但主要目标是预防此类情况的发生。这可以通过提高家长对电池摄入风险的认识来实现。此外，面对类似情况的医生应将努力方向集中在尽可能快速地诊断和取出电池等异物上。
