Camboulives J, Gregoire A, Garcin M, Unal D, Carcassone M
Ann Anesthesiol Fr. 1977;18(4):341-51.
On the basis of a study involving 21 children treated over a 10 year period, the authors describe a method for the management of a child following the ingestion of a caustic fluid: emergency oesophagoscopy to determine the extent and nature on the lesions, in severe forms, alimentation gastrostomy, which would seem to be preferable to parenteral alimentation, is carried out, on the 21st day, a new endoscopic and radiological assessment, permitting distinction between those cases which are cured and those progressing to stenosis. In this latter group, the choice is made between dilatations and oesophagoplasty on the basis on the lesions present and the development of complications during dilatation.
基于一项涉及21名在10年期间接受治疗的儿童的研究,作者描述了一种儿童摄入腐蚀性液体后的处理方法:进行急诊食管镜检查以确定病变的程度和性质,对于严重病例,行胃造口术进行营养支持,这似乎比胃肠外营养更可取,在第21天进行新的内镜和放射学评估,以区分治愈的病例和进展为狭窄的病例。对于后一组病例,根据存在的病变以及扩张过程中并发症的发生情况,在扩张术和食管成形术之间做出选择。