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[成人上消化道腐蚀性烧伤]

[Corrosive burns of the upper gastrointestinal tract in adults].

作者信息

Gögler H, Walf B, Ibe K, Bücherl E S

机构信息

Chirurgischen Klinik und Poliklinik, des Klinikums Charlottenburg, Freien Universität Berlin.

出版信息

Zentralbl Chir. 1988;113(6):345-50.

PMID:3388998
Abstract

Experience obtained from acid burns in 60 adult patients is reported in this paper. Twelve of them died, while 48 received conservative treatment, and twelve underwent surgery. Attempted suicide accounted for the highest number and severity of those accidental injuries. The therapeutic approach should be chosen on earliest possible endoscopy. Trends towards exploratory laparotomy and blind oesophagus stripping are described, and the problem of conservative therapy is discussed.

摘要

本文报告了60例成年患者酸烧伤的经验。其中12例死亡,48例接受了保守治疗,12例接受了手术。意外受伤中企图自杀的人数和严重程度最高。治疗方法应尽早在内镜检查的基础上选择。描述了剖腹探查术和盲目食管剥脱术的趋势,并讨论了保守治疗的问题。

相似文献

1
[Corrosive burns of the upper gastrointestinal tract in adults].[成人上消化道腐蚀性烧伤]
Zentralbl Chir. 1988;113(6):345-50.
2
Ingestion of strong corrosive alkalis: spectrum of injury to upper gastrointestinal tract and natural history.摄入强腐蚀性碱:上消化道损伤谱及自然病程
Am J Gastroenterol. 1992 Mar;87(3):337-41.
3
Ingestion of caustic substances: a 15-year experience.腐蚀性物质的摄入:15年经验总结
Laryngoscope. 2006 Aug;116(8):1422-6. doi: 10.1097/01.mlg.0000225376.83670.4d.
4
[Early surgical management of severe corrosive burns of the oesophagus (author's transl)].
Ann Otolaryngol Chir Cervicofac. 1978 Jun;95(6):379-88.
5
[Therapeutic approach to caustic damage of the 1st segment of the digestive tube due to ingestion of strong acids and alkalies].
Minerva Anestesiol. 1979 Jun;45(6):453-60.
6
Early operation for severe corrosive injury of the upper gastrointestinal tract.上消化道严重腐蚀性损伤的早期手术治疗。
Eur J Surg. 1996 Dec;162(12):951-5.
7
[Emergency treatment of corrosive gastrointestinal injuries].[腐蚀性胃肠道损伤的急诊治疗]
Orv Hetil. 1992 May 3;133(18):1099-102.
8
[The importance of early endoscopy in corrosive injuries of the esophagus and stomach].
Vojnosanit Pregl. 1987 Jul-Aug;44(4):284-6.
9
[Poisoning with a corrosive agent in an elderly patient. Endoscopy and emergency surgical treatment].[老年患者腐蚀性物质中毒。内镜检查与急诊手术治疗]
Rev Clin Esp. 1991 Apr;188(6):322.
10
The conservative management of severe caustic gastric injuries.严重腐蚀性胃损伤的保守治疗。
Ann Surg. 2011 Apr;253(4):684-8. doi: 10.1097/SLA.0b013e31821110e8.

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