Urganci Nafiye, Usta Merve, Kalyoncu Derya, Demirel Emirzad
Division of Pediatric Gastroenterology, Sisli Etfal Training and Research Hospital, Istanbul, Turkey.
Indian J Pediatr. 2014 Jul;81(7):675-9. doi: 10.1007/s12098-013-1170-0. Epub 2013 Aug 7.
To evaluate children who ingested corrosive substances, in terms of demographic features, nature of ingested substances, clinical findings, management and complications.
A total of 1709 cases aged between 0 and 16 y who ingested corrosive substance were analyzed retrospectively by evaluating the medical records of the patients.
The mean age of the cases was 35.23 ± 30.65 mo and male:female ratio was 1.45. Forty one percent of corrosive substances causing intoxication contained NaOH. Thirty percent of the families consisted of 5 or more members. Fourteen percent of the mothers were illiterate. Stricture formation was observed in 29 (1.69 %) of the cases during follow-up. In 79.31 % of those cases alkaline substance ingestion was responsible for stricture development. It was found that stricture formation occurred more frequently among cases who were older than 5 y of age and this finding was statistically significant (p = 0.001).
The cases older than 5 y of age with the diagnosis of grade 2b esophagitis must be followed up closely for the stricture formation. In order to protect children from corrosive ingestion, importance must be given to preventive measures such as education of families, keeping and storing these agents out of the reach of children and providing safety caps for these products.
从人口统计学特征、摄入物质的性质、临床发现、治疗及并发症方面评估摄入腐蚀性物质的儿童。
通过评估患者病历，对1709例年龄在0至16岁之间摄入腐蚀性物质的病例进行回顾性分析。
病例的平均年龄为35.23±30.65个月，男女比例为1.45。导致中毒的腐蚀性物质中有41%含有氢氧化钠。30%的家庭由5名或更多成员组成。14%的母亲为文盲。随访期间，29例（1.69%）出现狭窄形成。在这些病例中，79.31%的狭窄是由摄入碱性物质所致。发现5岁以上病例中狭窄形成更为常见，这一发现具有统计学意义（p = 0.001）。
诊断为2b级食管炎的5岁以上病例必须密切随访狭窄形成情况。为保护儿童免受腐蚀性物质摄入，必须重视预防措施，如对家庭进行教育、将这些制剂放置在儿童接触不到的地方并为这些产品配备安全盖。
