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Updated: Jun 20, 2026

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儿童接触按电池:系统审查和元分析
Christopher Tran1,2, Carlos Nunez3,2, Guy D Eslick1,2
1Sydney Medical School, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.
概括
儿童的按电池暴露是一个严重的风险,往往导致严重的并发症,如粘膜损伤和狭窄. 更安全的电池设计对于防止这些家庭危险至关重要.
科学领域:
- 儿科急救医学 儿科急救医学
- 毒理学 毒理学 毒理学
- 公共卫生 公共卫生
背景情况:
- 按电池的摄入和插入对儿童造成严重和致命的威胁越来越大.
- 目前关于儿科按电池暴露的证据需要全面的总结和聚合的流行率估计.
研究的目的:
- 总结当前关于儿童按电池暴露的证据.
- 提供临床特征和并发症的综合流行率估计.
- 为了确定不良结果的预测因素的风险估计.
主要方法:
- 在MEDLINE,Embase和Scopus数据库中搜索到2023年5月19日.
- 包括对儿童 (18岁以下) 进行的按电池暴露的研究,报告了患病率或几率比率 (OR) 数据.
- 利用随机效应模型进行聚合的流行率和事件率估计.
主要成果:
- 分析了44篇涉及3125名儿童的文章;男性和年幼儿童的暴露更为常见.
- 常见的并发症包括摄入后的粘膜损伤 (46%) 和食道狭窄 (10%);插入后的鼻隔膜穿孔 (13%).
- 延迟去除 (≥10-12小时),更大的电池直径 (≥20毫米),食道位置增加了并发症风险;食道冲击与死亡相关.
结论:
- 按电池对幼儿来说是一个重要的,可能致命的家庭危险.
- 加强预防策略,包括改进电池设计,对于降低相关风险至关重要.
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