Razumovskiĭ A Iu, Romanov A V, Sadchikova R V, Bataev S Kh, Masenkov Iu I
Khirurgiia (Mosk). 2001(11):47-50.
851 children suspected to have chemical burn of the esophagus were treated from 1996 to 2000. Use of esophageal bouginage along the guiding string has changed medical policy for esophageal burns. We completely rejected early bouginage. Late bouginage was necessary for 22% patients with II-III degree of chemical burns (3.8% of all hospitalized children). Results of the new policy depended on chemical agent. The best results were achieved after acetic acid burns. It is difficult to treat alkali burns leading to prolonged esophageal stenosis, and manganese crystal burns leading to pharynx injuries.
1996年至2000年期间，对851名疑似食管化学灼伤的儿童进行了治疗。沿引导线使用食管探条改变了食管烧伤的治疗策略。我们完全摒弃了早期探条扩张术。22%的Ⅱ-Ⅲ度化学烧伤患者（占所有住院儿童的3.8%）需要进行晚期探条扩张术。新策略的效果取决于化学制剂。醋酸烧伤后取得的效果最佳。治疗碱烧伤导致的长期食管狭窄以及锰晶体烧伤导致的咽部损伤较为困难。
