婴幼儿钮扣电池食管异物漏诊1例

Missed diagnosis in 1 case of esophageal foreign body of button battery in infant:a case report and review of the literature

1病例报告 患儿,男,1岁。因＂反复呕吐、渐进性吞咽困难4个月余＂入院。4个月前家属发现患儿偶有进食后呕吐,呕吐物为胃内容物,无明显的吞咽困难,无呛咳及呼吸困难,无明显发热、腹泻等,家属未予重视。后患儿呕吐渐加重,并出现吞咽困难,因患儿反复呕吐且只能进流质饮食,不能顺利添加辅食,患儿逐渐消瘦、体重下降。其间,患儿曾多次就诊于当地医院儿内科,均诊断为＂肠胃炎,营养不良＂,给予对症治疗后症状无明显改善。

To be on the alert on infants with esophageal foreign body,and to pay more attention to the button battery esophageal foreign body,the clinical data of a 12-month-old infant with button battery esophageal foreign body,which was missed diagnosis for up to 4months,is analyzed.And the related literature is reviewed.An esophagoscopy was carried out to remove the foreign body.A favorable outcome was achieved.When the infants have unexplained gastrointestinal symptoms,we should consider the possibility of an esophageal foreign body.We should pay attention to the button battery due to its highly corrosive to the esophagus.Timely diagnosis,reasonable operation are the keys to cure.