Risk factors analysis of the complications caused by button battery ingestions in 58 children
10.3760/cma.j.issn.1673-4912.2021.11.006
- VernacularTitle:58例儿童误服纽扣电池所致并发症的相关危险因素分析
- Author:
Huan WANG
1
;
Yaqiong GUO
;
Suli LI
;
Yuesheng WANG
;
Xiaoqin LI
Author Information
1. 郑州大学附属儿童医院 河南省儿童医院 郑州儿童医院消化科，郑州 450018
- Keywords:
Button battery ingestion;
Complication;
Detention location;
Esophageal ulcer;
Esophageal stenosis
- From:
Chinese Pediatric Emergency Medicine
2021;28(11):964-967
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the clinical characteristics, endoscopic manifestations, complications and related risk factors of button battery ingestion in 58 children, thus providing the basis for clinical diagnosis and treatment.Methods:The medical data of 58 children with button battery ingestion were collected and researched at Children′s Hospital Affiliated to Zhengzhou University from September 2015 to September 2020.The demographic information, battery impaction location, duration, symptoms, mucosal injury level, battery size, treatment, complications and follow-up results were analyzed.Results:The average age of the patients with button battery ingestion was (25.7±15.4)months, including 40 boys(68.9%). The average retention time of the battery in digestive tract was 13.8(2, 96) h. Vomiting, salivation, dysphagia, cough and fever were the common chief complaints.There were 29(50.0%) cases of grade I mucosal injury, as well as 14(24.1%) cases, 10(17.2%) cases and 10(17.2%) cases for grade Ⅱ, grade Ⅲ and grade Ⅳ, respectively.Additionally, common complications included esophageal stenosis, esophageal perforation and esophageal-tracheal fistula.Logistic regression analysis showed that location(esophagus) and diameter(≥15 mm) of battery incarceration were important predictors of complications.Conclusion:The degree of mucosal damage is associated with the diameter and impaction location of battery.The button battery embedded in the esophagus is prone to complications, while the ones retained in the stomach were not vulnerable to serious complications.Endoscopy and other related examinations should be performed again in 1 to 3 weeks after the button removal to determine the outcome of complications and to intervene in time.
