Dehghani Seyed Mohsen, Bahmanyar Maryam, Javaherizadeh Hazhir
Gastroenterohepatology Research Center, Nemazee Teaching Hospital, Shiraz University of Medical Sciences, Shiraz, Iran.
Department Of Pediatrics, Valiasr Hospital, Fasa School of Medicine, Fasa, Iran.
Middle East J Dig Dis. 2018 Jan;10(1):31-34. doi: 10.15171/mejdd.2017.87. Epub 2018 Jan 3.
BACKGROUND Caustic ingestion is one of the most important injuries during childhood, which leads to serious sequel. In this study, we evaluated the clinical manifestations, endoscopic appearance, complications, and treatment results in patients with caustic ingestion in our hospital. METHODS Hospital chart of patients with caustic ingestion who admitted to Nemazee Teaching Hospital affiliated to Shiraz University of Medical Sciences during a 2-year period (2015-2016) were reviewed retrospectively. The age, sex, nature of the caustic agent, clinical presentations, grade of injury in endoscopy, degree of parents' education, site of ingestion, accidental or intentional attempts, complications, and outcomes were reviewed. RESULTS In this study the charts of 41 patients (26 boys and 15 girls) with caustic ingestion over the 2-year period were reviewed. The mean age of the patients was 4.4 year. Of them, 95.1% had ingested the materials accidentally, and 2 (4.9%) patients had ingested unknown substances for suicidal attempt. Of all cases, 68.3% of caustic ingestion occurred in the kitchen. 19 (46.3%) agents were acidic substances and 17 (41.5%) were alkali agents. 5 (12.1%) patients ingested unknown substances. 24.3% of the patients were asymptomatic and the most common presentation was drooling (34.14%). 26.8% of the patients had dysphagia, and 24.3% presented with oral ulcer. 7.3% had abdominal pain, 4.8% had fever, and 2.4% had hematemesis. 14 (34.1%) patients had normal feature, 6 (14.6%) had grade I injury, 12 (29.3%) had grade II injury, and 8 (19.5%) had grade III injury in endoscopic evaluation. CONCLUSION Most of the caustic ingestion occurred in kitchen. Male was the dominant sex in the caustic injury.
背景 腐蚀性物质摄入是儿童时期最重要的损伤之一，会导致严重的后遗症。在本研究中，我们评估了我院腐蚀性物质摄入患者的临床表现、内镜表现、并发症及治疗结果。方法 回顾性分析2015年至2016年期间在设拉子医科大学附属内马齐教学医院住院的腐蚀性物质摄入患者的病历。对患者的年龄、性别、腐蚀性物质的性质、临床表现、内镜下损伤分级、父母受教育程度、摄入部位、意外或故意摄入情况、并发症及结局进行了回顾。结果 在本研究中，回顾了2年期间41例腐蚀性物质摄入患者（26例男孩和15例女孩）的病历。患者的平均年龄为4.4岁。其中，95.1%为意外摄入，2例（4.9%）为自杀企图摄入不明物质。在所有病例中，68.3%的腐蚀性物质摄入发生在厨房。19例（46.3%）为酸性物质，17例（41.5%）为碱性物质。5例（12.1%）患者摄入不明物质。24.3%的患者无症状，最常见的表现是流口水（34.14%）。26.8%的患者有吞咽困难，24.3%有口腔溃疡。7.3%有腹痛，4.8%有发热，2.4%有呕血。内镜评估中，14例（34.1%）患者表现正常，6例（14.6%）为I级损伤，12例（29.3%）为II级损伤，8例（19.5%）为III级损伤。结论 大多数腐蚀性物质摄入发生在厨房。腐蚀性损伤中男性占主导。
