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动物研究:儿童按电池摄入引起的声带的基本机制
Fengzhen Zhang1, Qingchuan Duan1, Chunju Zhou2
1Department of Otorhinolaryngology Head and Neck Surgery, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, 10045, China; Beijing Key Laboratory for Pediatric Diseases of Otolaryngology, Head and Neck Surgery, Beijing Pediatric Research Institute, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, 10045, China.
International journal of pediatric otorhinolaryngology
|January 29, 2024
概括
摄入按电池可能会导致声带. 负电极是负的电极.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 胃肠病学 胃肠病学
- 病理学 病理学 病理学
背景情况:
- 按电池 (BB) 摄入是儿科紧急情况的常见原因.
- 声带麻是BB摄入的已知并发症,但其确切机制尚不清楚.
- 了解这种机制对于开发有效的治疗方法至关重要.
研究的目的:
- 为了研究按电池摄入后声带的机制.
- 阐明复发性喉神经 (RLN) 在BB引起的声带中所扮演的角色.
主要方法:
- 使用了一种猪食道模型,其中一个完整的复发性喉神经 (RLN) 是完整的.
- 放置了一个CR2032按电池,其负电极面向RLN (实验组) 或远离 (对照组).
- 监测了肠内和食道外的pH值,并进行了病理检查.
主要成果:
- 在RLN附近的负电极下,迅速观察到高的食道内pH (>14).
- 2小时后,食道外的pH值增加,在6小时后达到10.
- 病理分析显示了食道层的破坏和RLN的液化性缩.
结论:
- 按电池负电极产生的基离子 (OH-) 穿透食道壁.
- 这些离子对复发性喉神经 (RLN) 的腐蚀是声带的主要机制.
- 这种机制解释了声带,即使没有食道穿孔.
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