Lee M G, Sing M Y, Venugopal S, Spencer H, Lyn C
Department of Medicine, U.W.I., Jamaica.
West Indian Med J. 1990 Dec;39(4):245-9.
Ingestion of caustic material is a major management problem which occurs most commonly in children. Twenty-five patients with caustic ingestion seen over a ten-year period are reported. Twelve patients had severe burns, resulting in oesophageal strictures. Of these, ten were children below six years of age (median age, 3 years). Dysphagia and vomiting were the main presenting features. Oropharyngeal burn was present in 83% of patients with oesophageal burns. The strictures involved the entire oesophagus in two patients, the upper third in four, the mid oesophagus in two and the lower third in four. Periodic dilatations were successful in restoring an adequate lumen in 7 patients with short strictures. Five patients required surgery. There was one death. Caustic damage to the oesophagus is preventable. Education of the public and simple measures by manufacturers of caustics are urgently needed.
吞食腐蚀性物质是一个主要的管理问题，最常见于儿童。报告了在十年期间见到的25例腐蚀性物质吞食患者。12例患者有严重烧伤，导致食管狭窄。其中，10例为6岁以下儿童（中位年龄3岁）。吞咽困难和呕吐是主要的临床表现。83%的食管烧伤患者存在口咽烧伤。两名患者的狭窄累及整个食管，四名累及食管上三分之一，两名累及食管中部，四名累及食管下三分之一。定期扩张成功地使7例短段狭窄患者恢复了足够的管腔。5例患者需要手术治疗。有1例死亡。食管的腐蚀性损伤是可以预防的。迫切需要对公众进行教育，并由腐蚀性物质制造商采取简单措施。
