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摘要: 目的:探讨鼻腔钮扣式电池异物对鼻腔黏膜的损害及其治疗方法。方法:总结13例钮扣式电池鼻腔异物患者的资料,所有患者取出异物后均在鼻内镜下行鼻腔仔细清理及冲洗,受损黏膜表面覆帖涂有红霉素眼膏的明胶海绵。结果:13例患者中,10例术后恢复良好,未见明显并发症;2例患者出现鼻腔粘连;1例患者术后发生鼻中隔穿孔。结论:一旦发现异物为钮扣电池应尽快取出,术中仔细清理术腔,术后系统用药,最大程度避免鼻出血、鼻中隔穿孔、鼻腔粘连和狭窄等并发症的发生。Abstract: Objective:To investigate the injury of button battery to nose and discuss its management.Method:Thirteen cases with button battery in nose were reviewed.After the removal of button battery,nasal cavity irrigations were carried out carefully by nasoendoscopy in all cases.Gelfoam full of erythromycin eye ointment was used to cover the injured mucous membrane.Result:Among all the cases,10 got full recovery without any complication.There are 2 cases of synechia nasal and 1 case of septum perforation.Conclusion:Removal as soon as possible,careful cleaning and systemic drug are necessary.Nose bleed,septum perforation,adhesion and rhinostenosis should be noticed.
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Key words:
- foreign body in the nose /
- button battery /
- septum perforation /
- chemical corrosion /
- treatments
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