案例报告:按电池的摄入 - - 在儿童中被低估的紧急情况
Karin Konzett1, Stefanie Gang1, Lukas Poyntner2
1Department of Pediatrics, Academic Teaching Hospital, Landeskrankenhaus Feldkirch, Feldkirch, Austria.
Frontiers in pediatrics
|February 6, 2025
概括
在幼儿中,按电池的摄入会导致严重的食道损伤,包括食道,导致危及生命的出血. 提高临床意识和多学科管理对于预防致命结果至关重要.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 紧急医疗 紧急医疗
- 毒理学 毒理学 毒理学
背景情况:
- 与电池相关的急诊室访问量正在增加.
- 摄入按电池是幼儿的一个重大问题.
- 按电池的食道损伤可能是严重的和危及生命的.
研究的目的:
- 报告了两例幼儿的病例,按电池的摄入导致了大脑食道.
- 突出提高对血管并发症的临床意识的迫切需要.
- 强调多学科管理和公共教育的重要性.
主要方法:
- 案例报告:两名幼儿摄入了按电池.
- 临床表现包括大规模的血和无症状间隔.
- 多学科的方法涉及儿科,放射学,耳鼻科医生,内镜和麻醉专家.
- 病理性检查显示了缩和食道上腺.
主要成果:
- 在按电池摄入后,这两名患者都出现了大规模的血.
- 一个无症状的间隔之后,出现了反复的,不受控制的出血.
- 病理学证实了由于有毒苏打诱导的亡导致的胃肠道.
- 对于这种严重的并发症,标准的治疗方案是不够的.
结论:
- 对于按电池摄入的现有临床途径需要增加对血管并发症的高度意识.
- 一个多学科的治疗算法对aortoesophageal胞二次按电池摄入是必不可少的.
- 对于家长和照顾者来说,关于按电池摄入的公众宣传活动至关重要.
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