Balasegaram M
Br J Surg. 1975 Jun;62(6):444-7. doi: 10.1002/bjs.1800620606.
One hundred and sixteen patients with early corrosive burns of the oesophagus treated by the author are reviewed. It is emphasized that the all important aspect of management of these patients is prophylactic treatment to avoid stricture of the oesophagus. Early treatment consists of intravenous fluid therapy, broad spectrum antibiotics, sedation, parenteral hydrocortisone and more importantly maintaining the patency of the oesophagus followed by dilatation. The importance of early barium meal studies and oesophagoscopy is stressed.
作者回顾了116例接受其治疗的早期食管腐蚀性烧伤患者。强调对这些患者进行管理的最重要方面是预防性治疗以避免食管狭窄。早期治疗包括静脉输液治疗、广谱抗生素、镇静、胃肠外给予氢化可的松，更重要的是保持食管通畅并随后进行扩张。强调了早期钡餐检查和食管镜检查的重要性。
