Dhiman R K, Choudhuri G, Baronia A K, Gaur A, Singh P K, Kohli A, Naik S R
Department of Gastroenterology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow.
Indian J Gastroenterol. 1992 Jul;11(3):139-40.
A case with tetanus presenting with progressive dysphagia due to lower esophageal dysfunction is described. A barium swallow at the onset of symptoms showed esophageal dilatation with a smooth tapering at the lower end suggestive of achalasia cardia. The patient recovered from tetanus over the ensuing three weeks; repeat barium swallow at this time was normal, suggesting that esophageal dysfunction was a manifestation of tetanus.
本文描述了一例破伤风患者,因食管下段功能障碍出现进行性吞咽困难。症状出现时的钡餐检查显示食管扩张,下端呈平滑的逐渐变细,提示贲门失弛缓症。患者在接下来的三周内从破伤风康复;此时重复钡餐检查正常,提示食管功能障碍是破伤风的一种表现。