内镜在小儿腐蚀性摄入中的作用：一家三级中心的经验。
The role of endoscopy in caustic ingestion in the pediatric population: experience in a tertiary center.
机构信息
Aparato Digestivo, Hospital Clínico Universitario Virgen de la Arrixaca, España.
Aparato Digestivo , Hospital Clínico Universitario Virgen de la Arrixaca, España.
出版信息
Rev Esp Enferm Dig. 2021 Apr;113(4):272-275. doi: 10.17235/reed.2020.7171/2020.
INTRODUCTION
caustic ingestion in children is rare but has potentially serious consequences.
AIM
to analyze the clinical and endoscopic features and the type of caustic ingested in our population.
METHODS
the upper endoscopies performed in this setting, as well as the characteristics of patients and caustics, were analyzed from 2010 to 2018.
RESULTS
fifty-one endoscopies were performed (48 cases of witnessed intake or high suspicion and three with a low suspicion) in patients with a mean age of 2.55 years. Alkali ingestion was more frequent (88.2 %) and 56.9 % of the endoscopies were normal, which was more frequent among those who ingested bleach (72 %). Alkali tended to produce more esophageal injuries (31.1 %) and acids tended to produce esophageal (20 %) and esophageal-gastric injuries (20 %). Four patients developed esophageal stenosis during follow-up.
DISCUSSION
even though more than half of the studies were normal, endoscopy is important in the diagnosis and prognosis of these patients.
简介
儿童腐蚀性摄入较为罕见，但可能产生严重后果。
目的
分析本地区儿童腐蚀性摄入的临床和内镜特征及腐蚀性物质类型。
方法
分析 2010 年至 2018 年在此背景下进行的上消化道内镜检查以及患者和腐蚀性物质的特征。
结果
51 例内镜检查（48 例为目击摄入或高度怀疑，3 例为低度怀疑）涉及平均年龄为 2.55 岁的患者。碱液摄入更为常见（88.2%），56.9%的内镜检查结果正常，在摄入漂白剂的患者中更为常见（72%）。碱液更易导致食管损伤（31.1%），而酸液更易导致食管（20%）和食管-胃损伤（20%）。4 例患者在随访中出现食管狭窄。
讨论
尽管超过一半的研究结果正常，但内镜检查对这些患者的诊断和预后很重要。
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