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一名成年患者摄入14枚助听器电池。

Ingestion of 14 Hearing Aid Batteries in an Adult Patient.

作者信息

Jomsky Breanna M, Patel Hiren J, Smith Travis

机构信息

Medicine, Lake Erie College of Osteopathic Medicine - Bradenton Campus, Bradenton, USA.

Medicine, Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Fort Lauderdale, USA.

出版信息

Cureus. 2024 Jul 11;16(7):e64354. doi: 10.7759/cureus.64354. eCollection 2024 Jul.

DOI:10.7759/cureus.64354
PMID:39130971
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11316670/
Abstract

Battery ingestion is not a common occurrence in adults. When it occurs in patients of any age, prompt action might be necessary, depending on the type of battery ingested, to prevent damage to the gastric mucosa that is involved in important secreting and absorbing functions required to maintain homeostasis. A 61-year-old Hispanic male presented to the emergency department with the chief concern of shortness of breath and abdominal pain. Incidentally, an X-ray demonstrated multiple round hyperdense foreign bodies in the ileum and cecum. Physical exam was positive for right-sided and periumbilical abdominal pain without any peritoneal signs. Upon colonoscopy, 14 hearing aid batteries of size 312 were discovered without evidence of perforation or obstruction. Ingestion of batteries in adults is a rare phenomenon. When an adult presents with ingestion of dangerous foreign bodies such as batteries, mental health is critical to consider in the history and treatment plan.

摘要

成人吞食电池并不常见。当任何年龄段的患者发生这种情况时,根据吞食电池的类型,可能需要迅速采取行动,以防止对胃黏膜造成损害,胃黏膜参与维持体内平衡所需的重要分泌和吸收功能。一名61岁的西班牙裔男性因呼吸急促和腹痛为主诉就诊于急诊科。偶然间,X线显示回肠和盲肠有多个圆形高密度异物。体格检查显示右侧和脐周腹痛阳性,无任何腹膜刺激征。结肠镜检查发现14枚312型号的助听器电池,没有穿孔或梗阻的迹象。成人吞食电池是一种罕见现象。当成人出现吞食电池等危险异物时,在病史和治疗计划中考虑心理健康至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/41d0/11316670/4a58045997bb/cureus-0016-00000064354-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/41d0/11316670/7563772a5f86/cureus-0016-00000064354-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/41d0/11316670/8732b13913ef/cureus-0016-00000064354-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/41d0/11316670/e3733556fc3f/cureus-0016-00000064354-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/41d0/11316670/4a58045997bb/cureus-0016-00000064354-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/41d0/11316670/7563772a5f86/cureus-0016-00000064354-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/41d0/11316670/8732b13913ef/cureus-0016-00000064354-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/41d0/11316670/e3733556fc3f/cureus-0016-00000064354-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/41d0/11316670/4a58045997bb/cureus-0016-00000064354-i04.jpg

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1
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本文引用的文献

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Deliberate foreign body ingestion in patients with underlying mental illness: A retrospective multicentre study.有基础精神疾病的患者故意吞食异物:一项回顾性多中心研究。
Australas Psychiatry. 2023 Oct;31(5):619-624. doi: 10.1177/10398562231189431. Epub 2023 Jul 20.
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一名患有边缘性人格障碍及其他合并症患者的故意异物摄入情况。
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