Gögler H, Walf B, Ibe K, Bücherl E S
Chirurgischen Klinik und Poliklinik, des Klinikums Charlottenburg, Freien Universität Berlin.
Zentralbl Chir. 1988;113(6):345-50.
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.
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。