[内镜检查在腐蚀性胃食管病变中的作用]

[Role of endoscopy in caustic gastroesophageal lesions].

作者信息

Sebastián Domingo J J, Santos Castro L, De Diego Lorenzo A, Castellanos Franco D, Pérez de Ayala V, Senent C

机构信息

Sección de Endoscopia Digestiva, Servicio Aparato Digestivo, Hospital General Gregorio Marañón, Madrid.

出版信息

Rev Esp Enferm Dig. 1990 Mar;77(3):176-8.

PMID:2378754

Abstract

From 1984 to 1989 we have examined endoscopically 191 patients who ingested, for different causes, some type of caustic substance. The mean age was 36.8 +/- 21 years. 57% were female and 43% males. The most common substance was lye (52%). The clinical symptoms consisted mainly of epigastric pain and odynophagia. The most prevalent lesion was oesophagitis, of variable degrees (58%). Complications related to the ingestion of the caustic appeared in 20% of the patients; three of them died. The most common sequela was oesophageal stenosis and secondly gastric stenosis. Males ingested acids more frequently than females (P less than 0.001). In 20% of the cases the ingestion of the caustic was for suicide while in children all the cases were accidents.

摘要

1984年至1989年间，我们对191例因不同原因摄入某种苛性物质的患者进行了内镜检查。平均年龄为36.8±21岁。女性占57%，男性占43%。最常见的物质是碱液（52%）。临床症状主要为上腹部疼痛和吞咽痛。最常见的病变是不同程度的食管炎（58%）。20%的患者出现了与苛性物质摄入相关的并发症；其中3人死亡。最常见的后遗症是食管狭窄，其次是胃狭窄。男性摄入酸的频率高于女性（P<0.001）。20%的病例中苛性物质的摄入是为了自杀，而在儿童中所有病例均为意外。