Votteler T P, Nash J C, Rutledge J C
JAMA. 1983 May 13;249(18):2504-6.
We have treated eight cases of childhood ingestion of alkaline disk batteries, one resulting in an esophagotracheal fistula. These batteries are capable of rapid tissue destruction on contact with moist membranes. We recommend that packaging include proper warning of this hazard and urge that retained batteries be promptly removed from the esophagus and stomach by endoscopy or laparotomy. If the battery has reached the small intestine, further transit should be monitored carefully by roentgenographic studies until recovery. Perforation is possible after eight-hour retention at a specific site.
我们已治疗了8例儿童吞食碱性纽扣电池的病例，其中1例导致食管气管瘘。这些电池一旦与湿润的黏膜接触，就能够迅速破坏组织。我们建议包装上应适当警示这种危险，并敦促通过内镜检查或剖腹手术迅速将滞留于食管和胃内的电池取出。如果电池已进入小肠，则应通过X线检查仔细监测其进一步的移动情况，直至排出。电池在特定部位滞留8小时后有可能发生穿孔。
