Janousek Petr, Jurovcík Michal, Grabec Pavel, Kabelka Zdenek
ENT Clinic of the 2nd Medical Faculty, Charles University, Paediatric ENT Department, V Uvalu 84, PRAHA 5 Motol, 150 06 Prague (2MF CU), Czech Republic.
Int J Pediatr Otorhinolaryngol. 2005 Oct;69(10):1429-32. doi: 10.1016/j.ijporl.2005.03.032.
Over the past few years, the ENT clinic in Motol has noticed an alarming increase in the number of cases of severe upper GIT injury in children, in the majority of cases caused by accidental ingestion of corrosives. Suicidal and homicidal cases in the paediatric population are rare. The following case study describes an interesting episode involving ingestion of granules of the lye NaOH in 13 children of school age. We furthermore stress the importance of early endoscopic investigation in every patient with possible corrosive injury of the oesophagus. We include a brief description of the diagnostico-therapeutic algorithm applied to each such patient that was developed through interdepartmental research in Motol Faculty Hospital.
在过去几年中，莫托尔的耳鼻喉科诊所注意到儿童严重上消化道损伤病例数量惊人地增加，大多数病例是由意外摄入腐蚀性物质引起的。儿科人群中的自杀和他杀病例很少见。以下案例研究描述了13名学龄儿童摄入烧碱氢氧化钠颗粒的有趣事件。我们还强调了对每例可能有食管腐蚀性损伤患者进行早期内镜检查的重要性。我们简要介绍了通过莫托尔大学医院跨部门研究为每例此类患者制定的诊断治疗方案。
