Chen Y M, Ott D J, Thompson J N, Gelfand D W
Department of Radiology, Bowman Gray School of Medicine, Wake Forest University, Winston-Salem, NC 27103.
South Med J. 1988 Jun;81(6):724-8, 744. doi: 10.1097/00007611-198806000-00010.
We observed progressive roentgenographic changes in five patients who had caustic esophagitis after accidental ingestion of a liquid alkali. Initial endoscopic examination showed moderate caustic esophagitis in all patients, and esophageal atony and poor distension were early roentgenographic observations. Esophageal strictures developed 13 to 44 days after caustic ingestion in all patients. Intramural pseudodiverticula complicated stricture formation in two patients. Esophageal diverticula developed in two cases, three months to one year after caustic ingestion. In summary, moderate caustic esophagitis is associated with esophageal dilatation, atony, and peristaltic abnormalities initially, and with eventual stricture formation.
我们观察了5例因意外摄入液态碱而患腐蚀性食管炎患者的X线渐进性变化。最初的内镜检查显示所有患者均有中度腐蚀性食管炎，食管弛缓和扩张不良是早期X线观察结果。所有患者在摄入苛性剂后13至44天出现食管狭窄。两名患者的壁内假性憩室并发狭窄形成。两名患者在摄入苛性剂后三个月至一年出现食管憩室。总之，中度腐蚀性食管炎最初与食管扩张、弛缓和蠕动异常有关，最终与狭窄形成有关。
