[巴马科成年患者上消化道腐蚀性损伤：流行病学、症状学及预后方面]

[Uper Digestive Tractus Caustic Injuries In Adult Patient In Bamako: Epidemiological, Semiological And Prognostic Aspects].

作者信息

Coulibaly Sow H Epouse, Samake Doumbia K Epouse, Sidibé Sanogo Sd Epouse, Dicko M Y, Soumaré G, Katilé D, Mallé O, Guindo H, Maiga A, Tounkara M C, Konaté A, Diarra M T, Maiga M Y

机构信息

Service d'Hépato-gastroentérologie CHU Gabriel Touré Bamako-Mali.

Service de Médecine interne du CHU du Point G.

出版信息

Mali Med. 2018;33(4):16-18.

PMID:35897238

Abstract

UNLABELLED

The main objective of this longitudinal and prospecting study from February 2013 to January 2014 was to analyze uper digestive tractus caustic injuries in adult patients at the service of gastroenterology of CHU Gabriel Touré Bamako-Mali.

PATIENTS AND MÉTHOD: We include patients (age more than 16 years) hospitalized for digestive caustic injuries.

RESULTS

During the period a hospital frequency was 2.1% (20/970). The mean age was about 33.1 ± 9 years. Over toxic substances was discovered in 45 % of patients. The caustic ingestion was intentional in 18 patients. Psychoaffective disorders were the main reason of caustic consumption. At the entry haematemesis was the main sign. The endoscopic lesions were in majority at stage IIIb of the Zargar et al classification. A case of inhalation pneumonia, a case of digestive perforation and 6 cases of digestive obstruction were the main complications of the caustics injuries. Early death was found in 3 patients.

CONCLUSION

Upper digestive tractus caustic injuries are more and more met in our context. Preventive measures are necessary to prevent these serious lesions.

摘要

未标注

这项于2013年2月至2014年1月开展的纵向前瞻性研究的主要目的是分析马里巴马科加布里埃尔·图雷大学医院胃肠病科成年患者的上消化道腐蚀性损伤情况。

患者与方法

我们纳入了因消化道腐蚀性损伤住院的患者（年龄超过16岁）。

结果

在此期间，医院收治频率为2.1%（20/970）。平均年龄约为33.1±9岁。45%的患者发现有过量有毒物质。18例患者腐蚀性物质摄入为故意行为。心理情感障碍是腐蚀性物质摄入的主要原因。入院时呕血是主要体征。内镜下病变大多处于扎尔加等人分类的IIIb期。吸入性肺炎1例、消化道穿孔1例和消化道梗阻6例是腐蚀性损伤的主要并发症。3例患者早期死亡。